Organization Active NPI

Behaviorial Change Counsling Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1811272545
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORIAL CHANGE COUNSLING CENTER
Practice address
3015 Cedar Ave S
Minneapolis, MN 55407-1805
Phone
(612) 423-5695
Fax
(612) 208-0661
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Mr. Mohamed A Warsame, MHRM
Title
Chief Executive Officer
Phone
(612) 423-5695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3015 Cedar Ave S
Minneapolis, MN 55407-1805

Mailing address

3015 Cedar Ave S
Minneapolis, MN 55407-1805
Phone (612) 423-5695

National Provider Directory

National Provider Directory

Locations

3015 Cedar Ave S
Minneapolis, MN 55407
Phone (612) 423-5695

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1811272545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071805",
            "telephone_number": "612-423-5695",
            "fax_number": "612-208-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071805",
            "telephone_number": "612-423-5695",
            "fax_number": "612-208-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORIAL CHANGE COUNSLING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "612-423-5695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHRM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 13, 2011; 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.