Ilyas A Abdikadir, LPCC is a
Home Health Aide based in Roseville, Minnesota. Ilyas A Abdikadir is licensed to practice in Minnesota (license number 2740) and his current practice location is
1751 County Road B W Ste 101, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 615-6848.
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 |
|---|
| Gender | Male |
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| Speciality | Home Health Aide |
|---|
| Location | 1751 County Road B W Ste 101, Roseville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063729747
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 04/24/2025
Medical Identifiers
Medical identifiers for Ilyas A Abdikadir such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063729747 | NPI | - | NPPES |
| 922503090 | Other | MN | PSYCHOTHERAPY |
| 843569697 | Other | MN | HOME HEALTH CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2740 (Minnesota) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 2740 (Minnesota) | Secondary |
| 374U00000X | Home Health Aide | 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
1751 County Road B W Ste 101,
Roseville, MN 55113-4037
Ph: (612) 615-6848 |
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