Organization Active NPI

Elevate Behavioral Health

  • Early Intervention Provider Agency
  • Saint Cloud, MN
National Provider Identifier
1023907615
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ELEVATE BEHAVIORAL HEALTH
Practice address
720 8TH Ave N Ste 9
Saint Cloud, MN 56303-3420
Phone
(507) 213-3647
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdirisaq Hassan
Title
Owner
Phone
(507) 213-3647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

720 8TH Ave N Ste 9
Saint Cloud, MN 56303-3420

Mailing address

720 8TH Ave N Ste 9
Saint Cloud, MN 56303-3420

National Provider Directory

National Provider Directory

Locations

720 8th Ave N
Ste 9
Saint Cloud, MN 56303
Phone (507) 213-3647

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1023907615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 8TH AVE N STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH AVE N STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033420",
            "telephone_number": "507-213-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDIRISAQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-213-3647"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.