Active NPI
Ahmed M Hassan
- Mental Health Counselor
- Richfield, MN
National Provider Identifier
1104153881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 41-2004518
- Practice address
- 6701 Penn Ave S Ste 301
Richfield, MN 55423-2085 - Phone
- (651) 276-0607
- NPI assigned
- Nov 17, 2009
- 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 | 41-2004518 | MN | Primary |
Addresses
Primary practice location
6701 Penn Ave S Ste 301
Richfield, MN 55423-2085
Mailing address
PO Box 4053
Saint Paul, MN 55104-0053
Phone (651) 276-0607
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 |
|---|---|---|---|
| 41-2004518 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sernee LLC | Current | Accepting new patients | |
| Center for Nurturing and Growth | Past | Accepting new patients |
Locations
1821 University Ave W
Ste N180
Saint Paul, MN 55104
Phone (651) 276-0607
Organizations & group practices 2
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.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1710649074
-
- Health Maintenance Organization
- Saint Paul, MN
- NPI 1508165747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1104153881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4053",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551040053",
"telephone_number": "651-276-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 PENN AVE S STE 301",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232085",
"telephone_number": "651-276-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "AHMED",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "41-2004518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.