Kenan Ombasa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22184 Issued in MN

Practice address

16892 Limonite Ter NW
Ramsey, MN 55303-2361

Phone

(763) 300-4069

NPI assigned

Apr 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Counseling & Consulting PLLC

  • Clinic/Center
  • Ramsey, MN
  • NPI 1932962073
  NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1194306159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16892 LIMONITE TER NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553032361",
            "telephone_number": "763-300-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16892 LIMONITE TER NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553032361",
            "telephone_number": "763-300-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBASA",
        "first_name": "KENAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Dental Partners, PLLC
• Northwest Seniors Transportation LLC
• Charles Maranga Nyambati, RN, BSN, PHN
• Laurel Ann Nygaard-Bluhm, PT
• Claudia Lee Olson, RN
• Lydiah Kerubo Omwoyo
• Joseph Onyambu Ondicho, DNP / PMHNP
• Orthodontic Care Specialists, PLLC
• Pact Charter School
• Palisade Assisted Living Inc

• Clinical Social Worker in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.