Active NPIIndividual provider

Ilyas A Abdikadir, LPCC

Home Health Aide in Roseville, Minnesota

NPI Number1063729747
Practice location
1751 County Road B W Ste 101, Roseville, MN 55113-4037
Fax
763-201-7979
Last updated
April 24, 2025

Ilyas A Abdikadir is a Home Health Aide based in Roseville, MN. Ilyas A Abdikadir practices in Roseville, MN and has the professional credentials of LPCC. The NPI Number for Ilyas A Abdikadir is 1063729747 and holds a License No. 2740 (MN). The current practice location address for Ilyas A Abdikadir is 1751 County Road B W Ste 101, Roseville, MN 55113-4037 and can be reached out via phone at 612-615-6848 and via fax at 763-201-7979.

Provider Profile Details

NPI Number
1063729747
Provider Name
Ilyas A Abdikadir
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
1751 County Road B W Ste 101, Roseville, MN 55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979
Primary Taxonomy
Home Health Aide · 374U00000X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2010
Last Update Date
April 24, 2025
Certification Date
April 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1751 County Road B W Ste 101
Roseville, MN 55113-4037
Zip
55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979
Roseville, MN 55113Get directions →

Provider Business Mailing Address Details

Address
1751 County Road B W Ste 101
Roseville, MN 55113-4037
City
Roseville
State
MN
Zip
55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979

License Information

License Number (1)
2740
License State (1)
MN
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
2740
License State (2)
MN
Taxonomy (2)
Psychologist, Group Psychotherapy · 103TP2701X
License Number (3)
2740
License State (3)
MN
Taxonomy (3)
Home Health Aide · 374U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Home Health Aide providers near Roseville, MN

View all Home Health Aide providers in Roseville →

Frequently Asked Questions

What is the NPI number of Ilyas A Abdikadir, LPCC?

The NPI number of Ilyas A Abdikadir, LPCC is 1063729747. It was assigned on September 1, 2010 and is currently active in the NPPES registry.

What is the specialty of Ilyas A Abdikadir, LPCC?

Ilyas A Abdikadir, LPCC is registered under the primary taxonomy Home Health Aide (code 374U00000X), licensed in MN under license number 2740.

Where does Ilyas A Abdikadir, LPCC practice?

The practice location is 1751 County Road B W Ste 101, Roseville, MN 55113-4037. The office can be reached at 612-615-6848 (phone) or 763-201-7979 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063729747 directly on the NPPES registry website.

Browse related providers