Organization Active NPI

Childrens Behavioral Center

  • Mental Health Counselor
  • Burnsville, MN
National Provider Identifier
1851037972
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHILDRENS BEHAVIORAL CENTER
Practice address
Childrens Behavioral Center - CTSS
2921 Cliff Rd E.
Burnsville, MN 55337
Phone
(817) 825-7868
NPI assigned
May 11, 2022
Organization subpart
Yes
Parent organization
CHILDRENS BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Abdikarim Mohamed Barkhdale
Title
Owner
Phone
(817) 825-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

Childrens Behavioral Center - CTSS
2921 Cliff Rd E.
Burnsville, MN 55337

Mailing address

Childrens Behavioral Center - CTSS
2921 Cliff Rd E.
Burnsville, MN 55337
Phone (817) 825-7868

Other names 1

  • Childrens Behavioral Center - CTSS Other name

National Provider Directory

National Provider Directory
Tax ID family
Childrens Behavioral Center3 organizations share this tax ID, including this one
Part of
Childrens Behavioral Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1851037972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDRENS BEHAVIORAL CENTER - CTSS",
            "address_2": "2921 CLIFF RD E.",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "817-825-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDRENS BEHAVIORAL CENTER - CTSS",
            "address_2": "2921 CLIFF RD E.",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "817-825-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BEHAVIORAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS BEHAVIORAL HEALTH",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BARKHDALE",
        "authorized_official_first_name": "ABDIKARIM",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-825-7868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Behavioral Center - CTSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.