ALIDUH JAMAL SHIREH (NPI# 1639336159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639336159 |
| Entity Type | Individual |
| Full Name | ALIDUH JAMAL SHIREH |
| Practice Address |
2616 Nicollet Ave Minneapolis MN 55408-1628 |
| Practice Telephone | 6128717878 |
| Practice Fax Number | 6128712567 |
| Mailing Telephone | 6128717878 |
| Mailing Fax Number | 6128712567 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2616 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925510 | African American Family Services | Case Management | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2006-08-03 |
| 1366870586 | Brandon Lavell Jones | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2013-10-25 |
| 1548534845 | Chezron Ford | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2012-03-05 |
| 1013226513 | Joleen F. Jones | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-09-30 |
| 1376859660 | African American Family Services | Health Maintenance Organization | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-08-24 |
| 1861708539 | Amanda Dawn Maria Borde | Social Worker | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-08-19 |
| 1922331149 | Etoy Wilson | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2009-09-08 |
| 1497922678 | David Lee Holloway | Case Manager/Care Coordinator | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-15 |
| 1124295449 | Sean C. Lewin | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-15 |
| 1124295951 | African American Family Services | Community/Behavioral Health | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| 1154976926 | Isuroon | Counselor | 1600 E. Lake St., Suite 1, Minneapolis, MN 55407-1884 | 2019-08-07 |
| 1891354791 | James Clayton | Counselor | 1611 E 32nd St, Minneapolis, MN 55407-1828 | 2019-06-13 |
| 1023592904 | Cody Lewis Oaks | Counselor | 1302 2nd St Ne Ste 210, Minneapolis, MN 55413-2993 | 2018-09-18 |
| 1679847156 | Lavethe Roaitia Liggins | Counselor | 2616 Nicollet Ave South, Minneapolis, MN 55404-0900 | 2012-03-01 |
| 1902196579 | Steven Branco | Counselor | 2323 Benjamin St Ne, Minneapolis, MN 55418-4001 | 2011-04-15 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on ALIDUH JAMAL SHIREH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.