Individual provider Active NPI

Hibo Farah Jamac

  • Mental Health Counselor
  • Saint Cloud, MN
National Provider Identifier
1205628443
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
340 US-10 W
Saint Cloud, MN 56304
Phone
(952) 212-0358
Fax
(612) 326-6160
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

340 US-10 W
Saint Cloud, MN 56304

Mailing address

2001 Killebrew Dr Ste 112
Bloomington, MN 55425-1871
Phone (952) 212-0358

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL btctherapy@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Therapy Center, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

2001 Killebrew Dr
Ste 112
Minneapolis, MN 55425

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1205628443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KILLEBREW DR STE 112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251871",
            "telephone_number": "952-212-0358",
            "fax_number": "612-326-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 US-10 W",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56304",
            "telephone_number": "952-212-0358",
            "fax_number": "612-326-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAC",
        "first_name": "HIBO",
        "middle_name": "FARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "btctherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "340 US-10 W",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.