Individual provider Active NPI

Andrew Hirilall

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1720657091
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC04742 Issued in MN
Practice address
2118 Blaisdell Ave
Minneapolis, MN 55404-2415
Phone
(651) 964-2375
NPI assigned
Jun 22, 2021
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305852 MN
Professional Counselor 101YP2500X CC04742 MN Primary

Addresses

Primary practice location

2118 Blaisdell Ave
Minneapolis, MN 55404-2415

Mailing address

2118 Blaisdell Ave
Minneapolis, MN 55404-2415
Phone (651) 964-2375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.hirilall@nuway.org Direct Nu-Way House Inc

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250407003047 MN Practitioner - Mental Health Counselor 1658895032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305852MNMDAddiction (Substance Use Disorder) Counselor
CC04742MNMDProfessional Counselor
4742MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado PC CurrentSince Apr 15, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 15, 2025 Accepting new patients
Care Clinics, LLC CurrentSince May 27, 2025 Accepting new patients
Nuway Mental Health Clinic PastSince Jun 27, 2021 Accepting new patients
Nu-Way House Inc PastSince Jun 27, 2021 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975

4100 Berkshire Ln N
#250
Plymouth, MN 55446

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1720657091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 BLAISDELL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042415",
            "telephone_number": "651-964-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 BLAISDELL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042415",
            "telephone_number": "651-964-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRILALL",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305852",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC04742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.hirilall@nuway.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Nu-Way House Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2118 Blaisdell Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554042415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.