COMMUNITY ONE LLC
NPI 1417612839
Counselor in Burnsville, MN

Q: What is Community One LLC's NPI number?

The NPI number for Community One LLC is 1417612839. It was assigned to this organization in the NPPES registry on November 1, 2021.

Q: What is Community One LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Community One LLC was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 01, 2021

11972 PORTLAND AVE, BURNSVILLE, MN 55337(507) 319-1906(651) 344-4378 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Apr 18, 2022, Nov 1, 2021 (3 updates tracked since 2021).

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About Community One Llc NPPES

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

COMMUNITY ONE LLC (NPI 1417612839) is a healthcare organization registered as a counselor in Burnsville, Minnesota and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Bloomington and lists Hodan H Roble, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417612839

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameCOMMUNITY ONE LLC

Location Address11972 PORTLAND AVEBurnsville, MN 55337-1516

Mailing Address11972 Portland AveBurnsville, MN 55337-1516 · (507) 319-1906 · Fax (651) 344-4378

Phone(507) 319-1906

Fax(651) 344-4378

Organization SubpartNo

Authorized OfficialHodan H RobleExecutive Director · (507) 319-1906

Enumeration DateNovember 1, 2021

Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1417612839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

11972 PORTLAND AVE, Burnsville, MN 55337

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Other Names 1

Doing Business AsCommunity One Llc

Secondary Practice Location 1

Location 17760 France Ave S Fl 11Bloomington, MN 55435-5930 · Phone (507) 319-1906 · Fax (651) 344-4378

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

Other Providers at the Same Location NPPES 20

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

NIMCO MAHAD

Behavior Technician