Khadra Mohamed Abdilahi

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1925 Portland Ave
Minneapolis, MN 55404-2713

Phone

(612) 298-7636

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Amoud Center Inc

  • Early Intervention Provider Agency
  • Fridley, MN
  • NPI 1659906071
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1790376705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 3RD ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325455",
            "telephone_number": "763-614-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042713",
            "telephone_number": "612-298-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDILAHI",
        "first_name": "KHADRA",
        "middle_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EIDBI",
            "affiliation": "Y",
            "affiliationName": "Amoud Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "EIDBI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EIDBI",
            "address_1": "1925 Portland Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554042713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abdiasis Abdilahi, MD
• Ahmed Mohamed Abdilahi
• Amal Abdi Abdilahi
• Ayub Mohamed Abdilahi
• Kawsar Abdilahi
• Semira Abdilahi
• Sumaya Abdi Abdilahi
• Abdikarim Abdille
• Fartun Abdullahi Abdille
• Najma Abdille

• All providers in Minneapolis, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.