Active NPI
Andrew Hirilall
- Professional Counselor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC04742
- Practice address
- 2118 Blaisdell Ave
Minneapolis, MN 55404-2415 - Phone
- (651) 964-2375
- NPI assigned
- Jun 22, 2021
- Last updated
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250407003047 | MN | Practitioner - Mental Health Counselor | 1658895032 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305852 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC04742 | MN | MD | Professional Counselor |
| 4742 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Care Clinics, LLC | Current | Accepting new patients | |
| Nuway Mental Health Clinic | Past | Accepting new patients | |
| Nu-Way House Inc | Past | 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.
-
- Psychologist
- St Louis Park, MN
- NPI 1851716245
-
dba Care Counseling of Minnesota
- Psychologist
- Edina, MN
- NPI 1336967561
-
dba Northern Psychiatric Associates of Minnesota
- Clinical Psychologist
- Baxter, MN
- NPI 1124898556
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1013608405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.