Active NPI
Ayan Abdule
- Mental Health Counselor
- Saint Cloud, MN
National Provider Identifier
1689400673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2719 W Division St Ste 5
Saint Cloud, MN 56301-3400 - Phone
- (952) 212-0358
- Fax
- (612) 326-6160
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2719 W Division St Ste 5
Saint Cloud, MN 56301-3400
Mailing address
2001 Killebrew Dr Ste 112
Bloomington, MN 55425-1871
Phone (952) 212-0358
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | btctherapy@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1689400673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 KILLEBREW DR STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251871",
"telephone_number": "952-212-0358",
"fax_number": "612-326-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 W DIVISION ST STE 5",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013400",
"telephone_number": "952-212-0358",
"fax_number": "612-326-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULE",
"first_name": "AYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "btctherapy@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2719 W Division St Ste 5",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563013400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.