Minnesota Care Counseling Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19934 Issued in MN

Legal business name

MINNESOTA CARE COUNSELING SERVICES, INC

Practice address

3355 Hiawatha Ave Ste 112
Minneapolis, MN 55406-2443

Phone

(612) 644-9466

Fax

(800) 933-0968

NPI assigned

May 21, 2015

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hussein Mohamed, LGSW, MA

Title

President/Ceo

Phone

(612) 644-9466

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1700265964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE STE 112",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062443",
            "telephone_number": "612-644-9466",
            "fax_number": "800-933-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE STE 112",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062443",
            "telephone_number": "612-644-9466",
            "fax_number": "800-933-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CARE COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "612-644-9466",
        "authorized_official_credential": "LGSW, MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "19934",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "1075365-1-HCBS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.