Individual provider Active NPI

Ahmed M Hassan

  • Mental Health Counselor
  • Richfield, MN
National Provider Identifier
1104153881
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
41-2004518 Issued in MN
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

Updated by the provider on Nov 17, 2009

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 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

LicenseStateTypeSpecialty
41-2004518MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sernee LLC CurrentSince Oct 17, 2021 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.

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.

Verify at the official NPI Registry.