Abdirahiim Ahmed, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

27013 Issued in MN

Practice address

3101 Old Highway 8 Ste 103
Roseville, MN 55113-1069

Phone

(612) 299-2362

Fax

(612) 440-3977

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

No

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.

• Hope Behavioral Health

  • Community/Behavioral Health Agency
  • Roseville, MN
  • NPI 1255977997
  Medicare reassignment NPD Authorized official MN

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2021.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1326539677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 103",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131069",
            "telephone_number": "619-410-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 103",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131069",
            "telephone_number": "612-299-2362",
            "fax_number": "612-440-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Highway 7 Ste 200",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554263955",
            "country_code": "US",
            "telephone_number": "952-939-0396",
            "fax_number": "952-548-8760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Silver Lake Rd NW Ste 4",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551129301",
            "country_code": "US",
            "telephone_number": "619-410-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ABDIRAHIIM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "27013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic & Wellness, P.a.
• Advanced Injury Rehabilitation, LTD.
• Affinity Health LLC
• Barbara Agbo, NP
• Carrie Ahlness, CNP
• Asha Ahmed
• Hanan Hassan Ahmed
• Hayat M Ahmed
• Hibaq Salah Ahmed
• Hodan Salah Ahmed

• All providers in Roseville, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.