ABDIRAHIM JAMAL ABDULKADIR NPI 1336012400

NPI Information

  • NPI: 1336012400
  • Provider Name: ABDIRAHIM JAMAL ABDULKADIR
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1701 AMERICAN BLVD E STE 19
    BLOOMINGTON, MN
    ZIP 55425
  • Phone: (207) 408-6688

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NPI Details

Abdirahim Jamal Abdulkadir is a mental health counselor in Bloomington, MN. Abdirahim Jamal Abdulkadir NPI is 1336012400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1701 AMERICAN BLVD E STE 19
BLOOMINGTON, MN
ZIP 55425-404
Phone: (207) 408-6688
Fax: (612) 326-6160

The enumeration date for this NPI number is 9/25/2025 and was last updated on 9/25/2025.

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
1101YM0800XCounselorMental HealthMINNESOTAYes

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: 3/30/2025

NPI Synchronization or Removal

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