Essential Care Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ESSENTIAL CARE SERVICES LLC

Practice address

1983 Sloan PL Ste 16
Maplewood, MN 55117-2004

Phone

(612) 607-9414

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Kinsi Mohamud Mirreh, OWNER

Title

Ceo

Phone

(612) 607-9414

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1174145239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL STE 16",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172004",
            "telephone_number": "612-607-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL STE 16",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172004",
            "telephone_number": "612-607-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "MIRREH",
        "authorized_official_first_name": "KINSI",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-607-9414",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6762169",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Ward Enos, LADC
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• Karla Jean Ethier, OTR
• Zabrina Naomi Evens, M.D.
• Kailey Marie Everett, LICSW

• Mental Health Counselor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.