Organization Active NPI

Rising Stars Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1851184683
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RISING STARS CENTER LLC
Practice address
1405 Lilac Dr N Ste 100F
Golden Valley, MN 55422-4528
Phone
(612) 598-2673
NPI assigned
May 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Camaar Abdulkadir
Title
Director
Phone
(612) 598-2673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 100F
Golden Valley, MN 55422-4528

Mailing address

1405 Lilac Dr N Ste 100F
Golden Valley, MN 55422-4528
Phone (612) 598-2673

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
Ste 100F
Golden Valley, MN 55422
Phone (612) 598-2673

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1851184683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 100F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224528",
            "telephone_number": "612-598-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 100F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224528",
            "telephone_number": "612-598-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "ABDULKADIR",
        "authorized_official_first_name": "CAMAAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-598-2673"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.