Maryan Shukri Abdi

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1701 American Blvd E Ste 19
Bloomington, MN 55425-1404

Phone

(207) 408-6684

NPI assigned

Aug 21, 2025

Sex

Female

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.

• Breakthrough Therapy Center, LLC

  • Early Intervention Provider Agency
  • Bloomington, MN
  • NPI 1386258143

  Mental Health

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2025.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1336027176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 19",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251404",
            "telephone_number": "207-408-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 19",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251404",
            "telephone_number": "207-408-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "MARYAN",
        "middle_name": "SHUKRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "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": "1701 American Blvd E Ste 19",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554251404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harun Farah Abdi
• Ifrah A. Abdi, MD
• Ikram Abdi
• Liban Abdulahi Abdi
• Mahamedamin Abdi
• Mohamed Omar Abdi
• Nefiso Abdi
• Nima Ali Abdi
• Ragiya Ali Abdi
• Roda Abdi

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

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