Access Wellness Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ACCESS WELLNESS CENTER

Practice address

7922 University Ave NE
Fridley, MN 55432-1558

Phone

(612) 570-2700

NPI assigned

Nov 20, 2021

Organization subpart

No

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

Authorized official

Name

Suad Yusuf Ismail, LPCCNPI 1104424084

Title

Counselor

Phone

(612) 570-2700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Suad Ismail, LPPC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1104424084
  NPD Authorized official

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1497412878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321558",
            "telephone_number": "612-570-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321558",
            "telephone_number": "612-570-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-20",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "SUAD",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "612-570-2700",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismail Ibraahim Abokor
• Dejeanah Abrams
• Ifrah Mohamed Abshir
• Eric A Abu
• Access to Recovery LLC
• Celeste Acosta
• Callie Adams
• Keyf Abdi Adan
• Zaynab Jama Adan
• Maryana Karie Adani

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.