Organization Active NPI

New Leaf Recovery Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
National Provider Identifier
1508653114
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW LEAF RECOVERY INC
Practice address
3701 American Blvd E Apt 246
Bloomington, MN 55425-1796
Phone
(612) 963-1795
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Abdulkadir Abubakar Abdulkadir
Title
Co-Owner
Phone
(612) 963-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3701 American Blvd E Apt 246
Bloomington, MN 55425-1796

Mailing address

3701 American Blvd E Apt 246
Bloomington, MN 55425-1796

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1508653114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 AMERICAN BLVD E APT 246",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 AMERICAN BLVD E APT 246",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251796",
            "telephone_number": "612-963-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "ABDULKADIR",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "ABUBAKAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-963-1795"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.