Active NPI
Metro Care Counseling LLC
- Adolescent and Children Mental Health Clinic/Center
- Lakeville, MN
National Provider Identifier
1992445332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.