Individual provider Active NPI

Nadifo Kassim Abdi

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1386471191
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2625 E Franklin Ave Ste LL4
Minneapolis, MN 55406-1195
Phone
(763) 213-3551
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2625 E Franklin Ave Ste LL4
Minneapolis, MN 55406-1195

Mailing address

6200 74TH Ave N
Brooklyn Park, MN 55443-2901
Phone (763) 213-3551

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

OrganizationSpecialtyStatusNew patients
Autism Care Center LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients

Locations

2625 E Franklin Ave
Ste LL4
Minneapolis, MN 55406
Phone (763) 213-3551

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1386471191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 74TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432901",
            "telephone_number": "763-213-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E FRANKLIN AVE STE LL4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061195",
            "telephone_number": "763-213-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "NADIFO",
        "middle_name": "KASSIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.