Olubola Omolara Salabiu, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022009090 Issued in MN

Practice address

1380 84TH LN N
Minneapolis, MN 55444-1443

Phone

(612) 703-1504

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gehlen Counseling and Consulting LLCGroup PAC ID 3173047214, 9 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.

• Gehlen Counseling and Consulting LLC

  • Adult Mental Health Clinic/Center
  • Rockford, MN
  • NPI 1841919826

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Secure Base Counseling Center LLC

  • Psychologist
  • Northfield, MN
  • NPI 1285905885

  Single Specialty

  Medicare reassignment NPD
• Passport Mental Health Journey

  • Psychiatry Physician
  • Brooklyn Park, MN
  • NPI 1922860303

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1316677602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 84TH LN N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554441443",
            "telephone_number": "612-703-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 84TH LN N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554441443",
            "telephone_number": "612-703-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALABIU",
        "first_name": "OLUBOLA",
        "middle_name": "OMOLARA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2022009090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA OFFICE OF THE SECRETARY OF STATE",
            "identifier": "1308266400027",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/2/#inbox",
            "affiliation": "N",
            "endpointDescription": "official  URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1380 84th Ln N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554441443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Ann Sakkinen, M.D.
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• Joseph W. Sakry, CRNA
• Alexandra Ishkova Sakurets, NP
• Elizabeth Lynn Salaba-Sharma
• Aisha Abdullahi Salad
• Burhan A Salad
• Farhiyo Salad
• Hamdi Hirsi Salad
• Hana B. Salad

• Psychiatric/Mental Health Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.