Individual provider Active NPI

Titus Wakyi

  • Mental Health Counselor
  • Plymouth, MN
National Provider Identifier
1700522307
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3905 Lancaster LN N Apt 228
Plymouth, MN 55441-1727
Phone
(612) 458-1146
NPI assigned
May 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MN Primary

Addresses

Primary practice location

3905 Lancaster LN N Apt 228
Plymouth, MN 55441-1727

Mailing address

1821 University Ave W Ste 181
Saint Paul, MN 55104-2879
Phone (612) 259-7715

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senzilla Transportation, Inc. CurrentSince Dec 10, 2023 Accepting new patients

Locations

1821 University Ave W
Ste 181
Saint Paul, MN 55104
Phone (612) 259-7715

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1700522307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 181",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042879",
            "telephone_number": "612-259-7715",
            "fax_number": "612-259-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LANCASTER LN N APT 228",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411727",
            "telephone_number": "612-458-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKYI",
        "first_name": "TITUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.