Active NPI
Isaac-Moise Ayaovi Mawunyo De Saba, LPC
- Mental Health Counselor
- Brooklyn Park, MN
National Provider Identifier
1083562227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 03125
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03125 | MN | MD | Mental 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.