FARTUN AHMED


Address: 16020 Temple Dr, Minnetonka, MN 55345-3422
Phone: 6128459692

FARTUN AHMED (NPI# 1801397302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801397302
Entity Type Individual
Full Name FARTUN AHMED
Credential LADC
Practice Address 16020 Temple Dr
Minnetonka
MN 55345-3422
Mailing Address 715 9th Ave S
Hopkins
MN 55343-7708
Practice Telephone 6128459692
Practice Fax Number 9522236155
Mailing Telephone 6124818502
Enumeration Date 2018-02-21
Last Update Date 2018-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
305005 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN STATE OF MINNESTOA 305005 01

Office Location

Street Address 16020 TEMPLE DR
City MINNETONKA
State MN
Zip Code 55345-3422

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1649747007 West Side Counseling LLC Community/Behavioral Health 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 2018-10-24
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1497264147 Minnetonka Assisted Living and Hospice Community Health Worker 14667 Lake Street Extension, Minnetonka, MN 55345 2017-09-26
1619494671 Shree Revenue Management Durable Medical Equipment & Medical Supplies 6117, Creek Ridge Ct, Minnetonka, MN 55345 2017-08-29
1538606876 Stefani Yanizeski Speech-Language Pathologist Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 2017-01-25
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1982014460 Miranda Jean Johnson Speech-Language Pathologist 15265 Minnetonka Blvd., Minnetonka, MN 55345 2014-05-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790386456 Alexandra Lloyd Conroy Counselor 3227 Lake Shore Boulevard, Minnetonka, MN 55391 2020-11-07
1811469653 Matthew Jon Thorson Counselor 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 2018-12-18
1285098202 Deborah Hagen Counselor 2601 Abbey Hill Dr, Minnetonka, MN 55305-2333 2016-04-06
1316314131 Todd Wilson Counselor 5101 Boarshead Rd, Apt #117, Minnetonka, MN 55345-4042 2015-08-27
1902295306 Jackie Harrison Counselor 12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916 2015-01-22
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1154603116 Judy D Siems Counselor 1615 Archwood Rd, Minnetonka, MN 55305 2011-09-15
1265556203 Odyssey Programs, LLC Counselor 14300 Cty Rd 62, Minnetonka, MN 55345 2007-03-16
1093856502 Scott C Washburn Counselor 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 2007-02-08
1407961709 Cdc Centers Counselor 15612 Highway 7, Suite 150, Minnetonka, MN 55345-3543 2006-08-20
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Competitor

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City MINNETONKA
Zip Code 55345

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Dataset Information

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.

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