Active NPI
Kowsarina Ahmed
- Mental Health Counselor
- Eagan, MN
National Provider Identifier
1104651801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4550
- Practice address
- 4265 Nicols Rd Apt 216
Eagan, MN 55122-1417 - Phone
- (612) 799-9656
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305752 | MN | |
| Mental Health Counselor | 101YM0800X | 4550 | MN | Primary |
Addresses
Primary practice location
4265 Nicols Rd Apt 216
Eagan, MN 55122-1417
Mailing address
4265 Nicols Rd Apt 216
Eagan, MN 55122-1417
Phone (612) 799-9656
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 |
|---|---|---|---|
| 305752 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 4550 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afiya Mental Health PLLC | Current | Accepting new patients | |
| Empower Therapy LLC | Current | Accepting new patients | |
| Nova ABA Clinic LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Eagan, MN
- NPI 1043105851
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Edina, MN
- NPI 1629894647
-
- Developmental Disabilities Clinic/Center
- Eagan, MN
- NPI 1710876479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1104651801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 NICOLS RD APT 216",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221417",
"telephone_number": "612-799-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 NICOLS RD APT 216",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221417",
"telephone_number": "612-799-9656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "KOWSARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305752",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "4550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.