Uknown Nakumbe, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00935 Issued in MN

Practice address

4940 W 77TH St
Edina, MN 55435-4805

Phone

(612) 284-2151

NPI assigned

Nov 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Coach Nakumbe Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Psychological Services, P.C.

  • Mental Health Counselor
  • Edina, MN
  • NPI 1245610856
  Medicare reassignment Care Compare group NPD
• 779 Riverside Recovery & Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Edina, MN
  • NPI 1437636131
  NPD
• Steps for Change

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1255866984
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1225570740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 HIGHWAY 55 APT 197",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274712",
            "telephone_number": "612-223-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W 77TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354805",
            "telephone_number": "612-284-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 American Blvd E",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554251139",
            "country_code": "US",
            "telephone_number": "612-310-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKUMBE",
        "first_name": "UKNOWN",
        "credential": "LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303344",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COACH",
            "last_name": "NAKUMBE",
            "credential": "LPCC, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Charles Nadeau, M.D.
• Kay Lynn Naggatz, M.S.,CCC-A
• Matthew Scott Nahan, DDS
• Andrew Najafalipour, LMFT
• Anne Najjar
• Harika Nalluri-Butz, M.D.
• Danielle B Nanigian, M.D
• Kimberly C Naruko-Stewart, M.D.
• Elizabeth Mara Nash, MA LMFT
• Joann Winifred Nash, LADC

• Mental Health Counselor in Edina, MN
• Providers in Edina, 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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.