Ilyas A Abdikadir, LPCC is a
Psychologist - Group Psychotherapy based in Minneapolis, Minnesota. Ilyas A Abdikadir is licensed to practice in Minnesota (license number 2740) and his current practice location is
3617 E Lake St Ste J, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 398-6348.
NPI number for Ilyas A Abdikadir is 1063729747 and his current mailing address is 1751 County Road B W Ste 101, Roseville, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063729747.
Healthcare Provider's Profile
Full Name | Ilyas A Abdikadir |
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Gender | Male |
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Speciality | Psychologist - Group Psychotherapy |
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Location | 3617 E Lake St Ste J, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063729747
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 04/03/2023
Medical Identifiers
Medical identifiers for Ilyas A Abdikadir such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063729747 | NPI | - | NPPES |
843569697 | Other | MN | PSYCHOTHERAPY |
922503090 | Other | MN | PSYCHOTHERAPY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2740 (Minnesota) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | 2740 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ilyas A Abdikadir is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ilyas A Abdikadir, LPCC 1751 County Road B W Ste 101, Roseville, MN 55113-4037 Ph: (612) 615-6848 | Ilyas A Abdikadir, LPCC 3617 E Lake St Ste J, Minneapolis, MN 55406-2148 Ph: (651) 398-6348 |
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