Organization Active NPI

Metro Care Counseling LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lakeville, MN
National Provider Identifier
1992445332
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
METRO CARE COUNSELING LLC
Practice address
16345 Kenyon Ave Unit 1
Lakeville, MN 55044-8934
Phone
(612) 800-3662
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Khadar Abdulle
Title
Director
Phone
(612) 800-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

16345 Kenyon Ave Unit 1
Lakeville, MN 55044-8934

Mailing address

16345 Kenyon Ave Unit 1
Lakeville, MN 55044-8934
Phone (612) 800-3662

National Provider Directory

National Provider Directory

Locations

16345 Kenyon Ave
Unit 1
Lakeville, MN 55044
Phone (612) 800-3662

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1992445332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16345 KENYON AVE UNIT 1",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448934",
            "telephone_number": "612-800-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16345 KENYON AVE UNIT 1",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448934",
            "telephone_number": "612-800-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-800-3662"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.