NPIMap

Organization Active NPI

Midcare

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1902547987
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIDCARE
Practice address
515 15TH Ave S Unit 139
Minneapolis, MN 55454-1310
Phone
(612) 552-8486
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Mr. Khadar Farah, LPCCNPI 1023691193
Title
Ceo
Phone
(612) 552-8486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

515 15TH Ave S Unit 139
Minneapolis, MN 55454-1310

Mailing address

515 15TH Ave S Unit 139
Minneapolis, MN 55454-1310
Phone (612) 552-8486

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1902547987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 15TH AVE S UNIT 139",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541310",
            "telephone_number": "612-552-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 15TH AVE S UNIT 139",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541310",
            "telephone_number": "612-552-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-552-8486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 Apr 5, 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.