Active NPI
Abdirizak Hassan
- Community/Behavioral Health Agency
- Saint Paul, MN
National Provider Identifier
1376224766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 2554 Como Ave Ste 6
Saint Paul, MN 55108-1249 - Phone
- (651) 363-6866
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
2554 Como Ave Ste 6
Saint Paul, MN 55108-1249
Mailing address
347 Orendorff Way NE
Columbia Heights, MN 55421-5050
Phone (651) 363-6866
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Health Group | Counselor | Current | Accepting new patients |
Locations
2554 Como Ave
Ste 6
Saint Paul, MN 55108
Phone (651) 363-6866
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1376224766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 ORENDORFF WAY NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554215050",
"telephone_number": "651-363-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 COMO AVE STE 6",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081249",
"telephone_number": "651-363-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "ABDIRIZAK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.