Ali Abdulkadir Ahmed

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

5410 W Huntington Dr
Laveen, AZ 85339-2433

Phone

(480) 241-6814

NPI assigned

Oct 31, 2022

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Global Health Az

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1366158537
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1912614975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 S 13TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073928",
            "telephone_number": "480-241-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 W HUNTINGTON DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392433",
            "telephone_number": "480-241-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ALI",
        "middle_name": "ABDULKADIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ COMPLETE AND AIHP",
            "identifier": "000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IDK",
            "affiliation": "N",
            "address_1": "5410 W Huntington Dr",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853392433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agave Residential Care Home, LLC
• Ezekiel Agbaeze
• Nneka Agbaeze
• Agh Laveen LLC (Dignity Health Arizona General Hospital)
• Irla Jasmine Aguilar
• Akos Live (Akos MD)
• Elmi Alasow
• Alera LLC
• Zaneta Renita Alexander
• Nabaa Aljnabi

• Addiction (Substance Use Disorder) Counselor in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.