Organization Active NPI

Kusow Behavioral Health LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1447147301
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KUSOW BEHAVIORAL HEALTH LLC
Practice address
2469 University Ave W Ste 100E
Saint Paul, MN 55114-8717
Phone
(612) 424-5540
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Khalid Mohamed Haji-KusowNPI 1558057406
Title
Director
Phone
(612) 424-5540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2469 University Ave W Ste 100E
Saint Paul, MN 55114-8717

Mailing address

2469 University Ave W Ste 100E
Saint Paul, MN 55114-8717
Phone (612) 424-5540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1447147301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 UNIVERSITY AVE W STE 100E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551148717",
            "telephone_number": "612-424-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 UNIVERSITY AVE W STE 100E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551148717",
            "telephone_number": "612-424-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSOW BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "HAJI-KUSOW",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-424-5540"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Aug 13, 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.