Active NPI
Abundance Health and Wellness LLC
- Adult Mental Health Clinic/Center
- Robbinsdale, MN
National Provider Identifier
1245029297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ABUNDANCE HEALTH AND WELLNESS LLC
- Practice address
- 4740 42ND Ave N Ste 202
Robbinsdale, MN 55422-1828 - Phone
- (612) 222-1979
- NPI assigned
- May 6, 2025
- Last updated
- Dec 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebisa Worika
- Title
- Owner
- Phone
- (612) 222-1979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
4740 42ND Ave N Ste 202
Robbinsdale, MN 55422-1828
Mailing address
4740 42ND Ave N Ste 202
Robbinsdale, MN 55422-1828
Phone (612) 222-1979
National Provider Directory
National Provider DirectoryLocations
4740 42nd Ave N
Ste 202
Robbinsdale, MN 55422
Phone (612) 222-1979
2301 Woodbridge St
Roseville, MN 55113
Phone (612) 222-1979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1245029297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 42ND AVE N STE 202",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221828",
"telephone_number": "612-222-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 42ND AVE N STE 202",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221828",
"telephone_number": "612-222-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANCE HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-06",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "WORIKA",
"authorized_official_first_name": "EBISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-222-1979"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.