Champion Learning Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHAMPION LEARNING CENTER LLC

Practice address

3355 Hiawatha Ave S, Ste 160
Minneapolis, MN 55406-2444

Phone

(612) 263-6293

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Deeqo Abi, CDANPI 1992545297

Title

Owner

Phone

(612) 267-6293

Specialties & licenses 1

Addresses

Other names 1

• Champion Autism Therapy Center Doing business as

Locations

Practitioners 1

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

• Deeqo Abi

  • Behavior Technician
  • St Anthony, MN
  • NPI 1992545297
  NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1942920772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE S, STE 160",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062444",
            "telephone_number": "612-263-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE S, STE 160",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062444",
            "telephone_number": "612-263-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "ABI",
        "authorized_official_first_name": "DEEQO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-267-6293",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Autism Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Chambers
• Kristine Ducharme Chambers
• Sheila Chamblain, PMHNP-BC
• Julie Anne Champagne, MD
• Margaret Nimocks Champine, MA
• Champion Mental Health & Drug Addiction Services
• Sara M Champlin, M.D.
• Suk Yin Chan-Colenbrander, MD
• Jacqueline Yan-Nei Chan, P.A. - C
• Ricky Yuk Kiu Chan, PA-C

• Adolescent and Children Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.