Daryeel Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DARYEEL THERAPY LLC

Practice address

8030 Old Cedar Ave S Ste 232
Bloomington, MN 55425-1215

Phone

(651) 367-4332

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Fathi Abdullahi Kofiro, LICSWNPI 1649851197

Title

Psychotherapist

Phone

(763) 209-8263

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.

• Fathi Abdullahi Kofiro, LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1649851197
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1891523445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 DELLRIDGE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252616",
            "telephone_number": "651-367-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 OLD CEDAR AVE S STE 232",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251215",
            "telephone_number": "651-367-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYEEL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "KOFIRO",
        "authorized_official_first_name": "FATHI",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "763-209-8263",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Rae Danielson
• Dans Vitam LLC
• Valerie Darger, BCTMB
• Leah Dargis
• Alexandre Darveaux
• Jennifer Ellen Dashow, BS, LADC
• Eva Dassin
• John Michael Daugherty, D.D.S.
• Sandra Louise Hyvarinen Davenport, M.D.
• David L. Johnson, MD, LTD

• Clinical Social Worker in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.