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NPI 1497412878ActiveOrganization· Counselor, Mental Health· Fridley, MN

Counselor, Mental Health in Fridley, Minnesota, registered in NPPES in November 2021. The authorized official on file is Suad Yusuf Ismail, LPCC, Counselor.

Overview

NPI1497412878
StatusActive
Entity typeOrganization
NPI issuedNov 20, 2021
Last updated in NPPESMay 23, 2024
Certified by providerMay 16, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Counselor, Mental Health providers in Fridley

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