YUSSUF SHAFIE MSW LICSW, LADC
NPI 1104276161
Counselor - Addiction (Substance Use Disorder) in Bloomington, MN

Active since June 20, 2016PECOS Enrolled
8040 OLD CEDAR AVE S STE 101, BLOOMINGTON, MN 55425(952) 992-9803(952) 405-9723 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2023, Nov 11, 2021, May 7, 2018 and 1 more (4 updates tracked since 2016).

About Yussuf Shafie Msw Licsw, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YUSSUF SHAFIE MSW LICSW, LADC (NPI 1104276161) is an individual addiction (substance use disorder) provider in Bloomington, Minnesota and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104276161
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameYUSSUF SHAFIECredential: MSW LICSW, LADC
Location Address8040 OLD CEDAR AVE S STE 101Bloomington, MN 55425-1211
Mailing Address8040 Old Cedar Ave S, Ste 101Bloomington, MN 55425-1205 · (952) 562-3740 · Fax (952) 405-9723
Fax(952) 405-9723
Sole ProprietorYes
Enumeration DateJune 20, 2016
Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1104276161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
8040 OLD CEDAR AVE S STE 101, Bloomington, MN 55425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yussuf Shafie Msw Licsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Yussuf Shafie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation, Substance Use Disorder
1120 E 80TH ST STE 108
Bloomington, MN 55420
  • Reassigned Medicare billing, Minnesota enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
8040 OLD CEDAR AVE S STE 101
BLOOMINGTON, MN 55425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yussuf Shafie's NPI number?

The NPI number for Yussuf Shafie is 1104276161. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Yussuf Shafie located?

Yussuf Shafie practices at 8040 Old Cedar Ave S Ste 101, Bloomington, MN 55425. The listed phone number is (952) 992-9803.

What is Yussuf Shafie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Yussuf Shafie enrolled in Medicare?

Yes. Yussuf Shafie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yussuf Shafie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yussuf Shafie reassigns Medicare benefits to Alliance Wellness Center LLC (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yussuf Shafie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yussuf Shafie accept?

Health plans from HealthPartners list Yussuf Shafie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yussuf Shafie was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.