Minnesota Recovery Developmental Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINNESOTA RECOVERY DEVELOPMENTAL CENTER

Practice address

7101 York Ave S Ste 335
Edina, MN 55435-4428

Phone

(612) 481-0766

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Liban Yasin

Title

Ceo

Phone

(612) 481-0766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Habiba Muhamud Ahmed Mohamed

  • Behavior Technician
  • Edina, MN
  • NPI 1861296931
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1871350603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 335",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 335",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354428",
            "telephone_number": "612-481-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA RECOVERY DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-481-0766"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Edina, MN
• Providers in Edina, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.