Individual provider Active NPI

Abdirahim Adow

  • Mental Health Counselor
  • Rochester, MN
National Provider Identifier
1245058569
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2720 Superior Dr NW Ste 101
Rochester, MN 55901-1775
Phone
(952) 212-0358
Fax
(612) 326-6160
NPI assigned
Sep 26, 2024
Sex
Male
Sole proprietor
No

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.

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 Sep 29, 2024 Accepting new patients

Locations

2001 Killebrew Dr
Ste 112
Minneapolis, MN 55425

2720 Superior Dr NW
Ste 101
Rochester, MN 55901
Phone (507) 208-4007

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

2720 Superior Dr NW Ste 101
Rochester, MN 55901-1775

Mailing address

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

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL btctherapy@gmail.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2024.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1245058569",
    "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": "2720 SUPERIOR DR NW STE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011775",
            "telephone_number": "952-212-0358",
            "fax_number": "612-326-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOW",
        "first_name": "ABDIRAHIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "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": "2720 Superior Dr NW Ste 101",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559011775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.