AFRICAN AMERICAN SURVIVOR SERVICES
NPI 1386530178
Prevention Professional in Saint Paul, MN

Active since June 17, 2025
285 DALE ST N STE 100, SAINT PAUL, MN 55103(612) 306-3416 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About African American Survivor Services NPPES

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

AFRICAN AMERICAN SURVIVOR SERVICES (NPI 1386530178) is a healthcare organization registered as a prevention professional in Saint Paul, Minnesota and active in the NPI registry since June 2025. The organization lists Ivan Louis Nelson, Director/cprsr, as its authorized official.

NPPES Registry Identity

NPI1386530178
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameAFRICAN AMERICAN SURVIVOR SERVICES
Location Address285 DALE ST N STE 100Saint Paul, MN 55103-2413
Mailing Address285 Dale St N Ste 100Saint Paul, MN 55103-2413 · (612) 306-3416
Organization SubpartNo
Authorized OfficialIvan Louis NelsonDirector/cprsr · (612) 306-3416
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
NPI 1386530178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
285 DALE ST N STE 100, Saint Paul, MN 55103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 African American Survivor Services's NPI number?

The NPI number for African American Survivor Services is 1386530178. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is African American Survivor Services located?

African American Survivor Services is located at 285 Dale St N Ste 100, Saint Paul, MN 55103. The listed phone number is (612) 306-3416.

What is African American Survivor Services's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for African American Survivor Services was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.