Active NPI
Kamal Jama
- Mental Health Counselor
- Lakeville, MN
National Provider Identifier
1083329874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16255 Kenyon Ave Apt 130
Lakeville, MN 55044-4815 - Phone
- (952) 846-9094
- NPI assigned
- Jan 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16255 Kenyon Ave Apt 130
Lakeville, MN 55044-4815
Mailing address
4265 Nicols Rd Apt 325
Eagan, MN 55122-1473
Phone (952) 846-9094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1083329874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 NICOLS RD APT 325",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221473",
"telephone_number": "952-846-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16255 KENYON AVE APT 130",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444815",
"telephone_number": "952-846-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMA",
"first_name": "KAMAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.