Organization Active NPI

New Minnesota Purpose of Freedom

  • Peer Specialist
  • Minneapolis, MN
National Provider Identifier
1184587057
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
NEW MINNESOTA PURPOSE OF FREEDOM
Practice address
705 42ND Ave N Ste 205
Minneapolis, MN 55412-1711
Phone
(612) 403-2294
NPI assigned
Dec 6, 2025
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
Ubah Aden Mohamud, CPRS
Title
President and Founder
Phone
(612) 403-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

705 42ND Ave N Ste 205
Minneapolis, MN 55412-1711

Mailing address

110 E 18TH St Apt 107
Minneapolis, MN 55403-3998
Phone (612) 403-2294

National Provider Directory

National Provider Directory

Locations

705 42nd Ave N
Ste 205
Minneapolis, MN 55412
Phone (612) 403-2294

NPI Registry JSON

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

{
    "created_epoch": "1764979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764979200000",
    "number": "1184587057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 18TH ST APT 107",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033998",
            "telephone_number": "612-403-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 42ND AVE N STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121711",
            "telephone_number": "612-403-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MINNESOTA PURPOSE OF FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-06",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "UBAH",
        "authorized_official_middle_name": "ADEN",
        "authorized_official_title_or_position": "PRESIDENT AND FOUNDER",
        "authorized_official_telephone_number": "612-403-2294",
        "authorized_official_credential": "CPRS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "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 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.