Individual provider Active NPI

Isaac-Moise Ayaovi Mawunyo De Saba, LPC

  • Mental Health Counselor
  • Brooklyn Park, MN
National Provider Identifier
1083562227
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
03125 Issued in MN
Practice address
8823 Zealand Ave N Ste H
Brooklyn Park, MN 55445-1800
Phone
(202) 880-2812
NPI assigned
Mar 20, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 03125 MN Primary

Addresses

Primary practice location

8823 Zealand Ave N Ste H
Brooklyn Park, MN 55445-1800

Mailing address

7541 Jersey Ave N Apt 204
Brooklyn Park, MN 55428-1334
Phone (319) 329-4422

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

State licenses

LicenseStateTypeSpecialty
03125MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1083562227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 JERSEY AVE N APT 204",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281334",
            "telephone_number": "319-329-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 ZEALAND AVE N STE H",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451800",
            "telephone_number": "202-880-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SABA",
        "first_name": "ISAAC-MOISE",
        "middle_name": "AYAOVI MAWUNYO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "03125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.