Shireen June Ghanatabadi, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1691 Issued in MN

Practice address

2546 Johnson St NE
Minneapolis, MN 55418-3941

Phone

(612) 444-1655

Fax

(612) 446-5787

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Live Life Balanced Healing, LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1184402505
  Medicare reassignment NPD Authorized official
• Catalyst Insight Collective, LLC

  • Mental Health Counselor
  • St Anthony, MN
  • NPI 1619562113
  NPD Authorized official
• Vanda Counseling and Psychological Services

  • Community/Behavioral Health Agency
  • Golden Valley, MN
  • NPI 1295131779
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1952809899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 MADISON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182844",
            "telephone_number": "612-638-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 JOHNSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183941",
            "telephone_number": "612-444-1655",
            "fax_number": "612-446-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4969 Olson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "55422",
            "country_code": "US",
            "telephone_number": "763-575-8086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14115 James Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553749468",
            "country_code": "US",
            "telephone_number": "763-575-8086",
            "fax_number": "320-774-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANATABADI",
        "first_name": "SHIREEN",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Joy Geyen, RN BC
• Sharifo M Geyre
• Nonsindiso Geza
• Selome Gezahegn, MD
• Virginia Lynn Ghafoor, PHARMD
• Reem Ghanem
• Mahmood Gharib, M.D.
• Sayak Ghatak, MD, PHD
• Saba Ghazimoghadam, PH.D.
• Rahel Ghebre, M.D.

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.