Constance Daramola, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2620 Issued in MN

Practice address

3401 75TH Ave N
Minneapolis, MN 55443-3525

Phone

(651) 239-9633

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doctors at Home PCGroup PAC ID 8426490954, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Doctors at Home PC

  • Family Medicine Physician
  • Minnetonka, MN
  • NPI 1841043296
  Medicare reassignment Care Compare group NPD
• Affinity Community Health Services, Inc

  • Community/Behavioral Health Agency
  • Brooklyn Center, MN
  • NPI 1275094526
  NPD Authorized official
• Healing Community Services

  • Adult Mental Health Clinic/Center
  • Brooklyn Park, MN
  • NPI 1871145862
  NPD (past) Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1538768700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 75TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554433525",
            "telephone_number": "651-239-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 75TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554433525",
            "telephone_number": "651-239-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMOLA",
        "first_name": "CONSTANCE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "endpointDescription": "cdaramola2620@gmail.com",
            "address_1": "3401 75th Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554433525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Dao, DO
• Vinh Dao, PHARMD
• Amina Mahamed Daod
• Sabirin Daoud I
• Salma Abdirasak Daoud I
• Femi Joseph Daramola
• Nicole Dardis
• Daring Dialogues
• Donald Darling, PT
• John Bertram Darling III, M.D.

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.