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JACOB MATADI
NPI 1164961892
Counselor - Mental Health in Minneapolis, MN

Active since February 14, 2017
1100 WASHINGTON AVE S STE 102, MINNEAPOLIS, MN 55415(612) 314-0349 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Matadi NPPES

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

JACOB MATADI (NPI 1164961892) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1164961892
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB MATADI
Location Address1100 WASHINGTON AVE S STE 102Minneapolis, MN 55415-1281
Mailing Address1100 Washington Ave S Ste 102Minneapolis, MN 55415-1281
Phone(612) 314-0349
Sole ProprietorNo
Enumeration DateFebruary 14, 2017
✔ NPI 1164961892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1100 WASHINGTON AVE S STE 102, Minneapolis, MN 55415
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Other Providers at the Same Location NPPES 2

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

LINDSEY WEILER MA, LMFT
Marriage & Family Therapist
1100 WASHINGTON AVE S STE 102
MINNEAPOLIS, MN 55415
Hennepin County (651) 407-3631
LAXEE THAO
Counselor (Mental Health)
1100 WASHINGTON AVE S STE 102
MINNEAPOLIS, MN 55415
Hennepin County (612) 314-0349

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 Jacob Matadi's NPI number?

The NPI number for Jacob Matadi is 1164961892. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Where is Jacob Matadi located?

Jacob Matadi practices at 1100 Washington Ave S Ste 102, Minneapolis, MN 55415. The listed phone number is (612) 314-0349.

What is Jacob Matadi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Matadi was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.