Organization Active NPI

African American Family Services

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1124295951
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
801134-2-CDT Issued in MN
Legal business name
AFRICAN AMERICAN FAMILY SERVICES
Practice address
2616 Nicollet Ave
Minneapolis, MN 55408-1628
Phone
(612) 871-7878
Fax
(612) 871-2567
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Ms. Lissa Jones
Title
Executive Director
Phone
(612) 871-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 801134-2-CDT MN Primary

Addresses

Primary practice location

2616 Nicollet Ave
Minneapolis, MN 55408-1628

Mailing address

2616 Nicollet Ave
Minneapolis, MN 55408-1628
Phone (612) 871-7878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1124295951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081628",
            "telephone_number": "612-871-7878",
            "fax_number": "612-871-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081628",
            "telephone_number": "612-871-7878",
            "fax_number": "612-871-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFRICAN AMERICAN FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-871-7878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "801134-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.