Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

UKNOWN NAKUMBE LPCC, LADC
NPI 1225570740
Counselor - Mental Health in Edina, MN

Active since November 15, 2016PECOS Enrolled
4940 W 77TH ST, EDINA, MN 55435(612) 284-2151 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, Nov 30, 2018, Oct 8, 2018 and 2 more (5 updates tracked since 2016).

About Uknown Nakumbe Lpcc, Ladc NPPES

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

UKNOWN NAKUMBE LPCC, LADC (NPI 1225570740) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (00935) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225570740
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameUKNOWN NAKUMBECredential: LPCC, LADC
Location Address4940 W 77TH STEdina, MN 55435-4805
Mailing Address8014 Highway 55 Apt 197Golden Valley, MN 55427-4712 · (612) 223-6622
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 15, 2016
Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1225570740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 00935
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303344 (MN)
4940 W 77TH ST, Edina, MN 55435

Other Names 1

Former Name (1)Coach Nakumbe Lpcc, Ladc

Secondary Practice Location 1

Location 11550 American Blvd EBloomington, MN 55425-1139 · Phone (612) 310-9110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Uknown Nakumbe Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193167351
PECOS Enrollment IDI20240521000294
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.

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 (Addiction (Substance Use Disorder))
4940 W 77TH ST
EDINA, MN 55435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225570740, enumerated as an "individual" on November 15, 2016.

The provider is located at 4940 W 77TH ST EDINA, MN 55435 and the phone number is (612) 284-2151.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.