Maryan Warsame

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

641 89TH Ave NE
Blaine, MN 55434-2302

Phone

(703) 389-7174

NPI assigned

Dec 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Neurolink Academy LLC

  • Early Intervention Provider Agency
  • Brooklyn Park, MN
  • NPI 1306603196

  Mental Health

  NPD

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1265249130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 89TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 89TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342302",
            "telephone_number": "703-389-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSAME",
        "first_name": "MARYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Craig Stuart Walvatne, M.D.
• Cherrill A Warren, RPH
• Todd A Warren, RPH
• Kalid Warsame
• Reyan Abdiaziz Warsame
• Watershed Psychological Services
• Jennifer Caroline Weier, CCC-SLP
• Mark Steven Weigand, PT
• Chelsey Marie Joy Weintraub

• Mental Health Counselor in Blaine, MN
• Providers in Blaine, 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 Dec 14, 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.