Organization Active NPI

Sankofa Group

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1689005035
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22145 Issued in MN
Legal business name
SANKOFA GROUP
Practice address
690 Cleveland Ave S
690 Cleveland Ave Suite 200
Saint Paul, MN 55116-1319
Phone
(651) 300-9605
Fax
(651) 789-8028
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Mr. Nathaniel W Hurse, LICSW/LADC/SAP
Title
Founder/Ceo
Phone
(612) 203-9809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 22145 MN Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 22145 MN

Addresses

Primary practice location

690 Cleveland Ave S
690 Cleveland Ave Suite 200
Saint Paul, MN 55116-1319

Mailing address

690 Cleveland Ave S
690 S Cleveland Ave Suite 150 St.Paul, MN
Saint Paul, MN 55116-1319
Phone (651) 493-2856

Other identifiers 1

IdentifierTypeStateIssuer
1689005035MedicaidMN

National Provider Directory

National Provider Directory

Locations

690 Cleveland Ave S
Ste 200
Saint Paul, MN 55116
Phone (651) 300-9605

690 Cleveland Ave S
Ste 150
Saint Paul, MN 55116
Phone (651) 493-2856

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": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1689005035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CLEVELAND AVE S",
            "address_2": "690 S CLEVELAND AVE SUITE 150 ST.PAUL, MN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161319",
            "telephone_number": "651-493-2856",
            "fax_number": "866-335-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CLEVELAND AVE S",
            "address_2": "690 CLEVELAND AVE SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161319",
            "telephone_number": "651-300-9605",
            "fax_number": "651-789-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "HURSE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "612-203-9809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW/LADC/SAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "22145",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689005035",
            "state": "MN"
        }
    ],
    "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 Mar 24, 2017; 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.