Abdiwadud Muse Abdullahi

Individual provider Active NPI Mental Health Counselor · Bloomington, MN

NPI 1083322648 · NPPES record last updated Nov 11, 2022

Key facts

NPI
1083322648
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1701 American Blvd E Ste 19
Bloomington, MN 55425-1401
Phone
(763) 999-5938
Fax
(612) 326-6160
NPI assigned
Nov 11, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Therapy Center, LLC Mental Health Current
since Jul 23, 2023
Accepting new patients

Locations

1701 American Blvd E
Ste 19
Bloomington, MN 55425
Phone (763) 999-5938

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1701 American Blvd E Ste 19
Bloomington, MN 55425-1401

Mailing address

1701 American Blvd E Ste 19
Bloomington, MN 55425-1401
Phone (763) 999-5938

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL info@btcentermn.com Direct

Other providers in Bloomington, MN

All providers in Bloomington, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.