Destiny Residential Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINY RESIDENTIAL SERVICES

Practice address

1440 85TH Ave NE Unit L
Spring Lake Park, MN 55432-1323

Phone

(763) 213-6236

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Muhsin Ahmed

Title

Owner

Phone

(612) 532-6250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1073237566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 85TH AVE NE UNIT L",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554324437",
            "telephone_number": "763-213-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 85TH AVE NE UNIT L",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321323",
            "telephone_number": "763-213-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MUHSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-532-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kathryn Chapman, MA, LMFT
• Aaron Jonathan Close, LPCC, LADC
• Kyle Partridge Cold
• Cliff Dahlberg, MSW, LGSW, LADC
• Deanne Den Hartog, LMFT
• Patricia Jean Dickmann, M.D.
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• Rakia Abdi Farah

• Community/Behavioral Health Agency in Spring Lake Park, MN
• Providers in Spring Lake Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.