BOBBI-JO LISA MOUJID LICSW NPI 1538155247

NPI Information

NPI: 1538155247
Provider Name: BOBBI-JO LISA MOUJID, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
400 SIBLEY ST STE 500
SAINT PAUL, MN
ZIP 55101
Phone: (651) 256-1274
Get Directions

Bobbi-jo Lisa Moujid, LICSW is a mental health counselor in Saint Paul, MN with 22 years of experience. Bobbi-jo Lisa Moujid, LICSW NPI is 1538155247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

400 SIBLEY ST STE 500
SAINT PAUL, MN
ZIP 55101-938
Phone: (651) 256-1274

The NPI 1538155247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	15873	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	217G9AZ	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	800001602	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICARE
3	113155	OTHER	MINNESOTA	UCARE
4	198428400	MEDICAID	MINNESOTA
5	1000	OTHER	MINNESOTA	MHP
6	990991042512	OTHER	MINNESOTA	PREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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