SELAMAWIT ELIZABETH SHANNON-TAMRAT
NPI 1669036406
Counselor - Mental Health in St Louis Park, MN

Active since April 26, 2019
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416(763) 312-1878 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Apr 26, 2019 (2 updates tracked since 2019).

About Selamawit Elizabeth Shannon-tamrat NPPES

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

SELAMAWIT ELIZABETH SHANNON-TAMRAT (NPI 1669036406) is an individual mental health provider in St Louis Park, Minnesota, licensed in Minnesota (STUDENT) and active in the NPI registry since April 2019. She maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1669036406
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSELAMAWIT ELIZABETH SHANNON-TAMRAT
Location Address5775 WAYZATA BLVD STE 700St Louis Park, MN 55416-1233
Mailing Address5775 Wayzata Blvd Ste 700St Louis Park, MN 55416-1233 · (763) 312-1878
Sole ProprietorNo
Enumeration DateApril 26, 2019
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
NPI 1669036406 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 · STUDENT
Also ListedBehavior AnalystTaxonomy 103K00000X
5775 WAYZATA BLVD STE 700, St Louis Park, MN 55416

Secondary Practice Location 1

Location 19001 E Bloomington Fwy Ste 143Bloomington, MN 55420-3444 · Phone (952) 777-4996 ext. 95277

Other Identifiers 1

Medicaid47-40144022MN

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.

Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Home Health
5775 WAYZATA BLVD STE 700
SAINT LOUIS PARK, MN 55416
Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Non-emergency Medical Transport (VAN)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Psychologist (Clinical Child & Adolescent)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Behavior Analyst
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Behavior Analyst
5775 WAYZATA BLVD STE 700
MINNEAPOLIS, MN 55416

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 Selamawit Shannon-tamrat's NPI number?

The NPI number for Selamawit Shannon-tamrat is 1669036406. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Selamawit Shannon-tamrat located?

Selamawit Shannon-tamrat practices at 5775 Wayzata Blvd Ste 700, St Louis Park, MN 55416. The listed phone number is (763) 312-1878.

What is Selamawit Shannon-tamrat'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 Selamawit Shannon-tamrat was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.