Organization Active NPI

Skills Enrichment Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blaine, MN
National Provider Identifier
1114809621
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SKILLS ENRICHMENT SERVICES INC
Practice address
8648 London Cir NE Unit a
Blaine, MN 55449-7425
Phone
(612) 772-3593
NPI assigned
Jul 24, 2025
Last updated
Dec 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Authorized official

Name
Rokia M Moallim
Title
Director
Phone
(612) 772-3593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

8648 London Cir NE Unit a
Blaine, MN 55449-7425

Mailing address

8648 London Cir NE Unit a
Blaine, MN 55449-7425
Phone (612) 772-3593

Other names 1

  • Skills Enrichment Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764979200000",
    "number": "1114809621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 LONDON CIR NE UNIT A",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497425",
            "telephone_number": "612-772-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8648 LONDON CIR NE UNIT A",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497425",
            "telephone_number": "612-772-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS ENRICHMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A",
        "authorized_official_last_name": "MOALLIM",
        "authorized_official_first_name": "ROKIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-772-3593"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skills Enrichment",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; 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.