Organization Active NPI

Abundance Health and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Robbinsdale, MN
National Provider Identifier
1245029297
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.