Active NPI 1508479700 Individual Practitioner Male Practitioner

Roy Haddad , LPCC, LADC

Counselor • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Roy Haddad, LPCC, LADC is a registered healthcare professional specializing in Counselor in Bloomington, MN. Practice services are available at 8120 PENN AVE S STE 500U under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8120 Penn Ave S Ste 500u

Bloomington, MN 554311367

Telephone 9522450369

Fax 9525165282

Associated Practice Facility / Clinic

🏢 Cedar Serenity Llc Facility NPI 1669169314

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bloomington, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 12.6 Yrs

Regional Practice Density

12 Specialists

Practicing in Bloomington, MN (455 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-19

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000000 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location July 19, 2023

Registered at 8120 PENN AVE S STE 500U, BLOOMINGTON, MN 554311367 (Tel: 9522450369)

📍

Updated Business Mailing Address July 19, 2023

Registered at 8120 PENN AVE S STE 500U, BLOOMINGTON, MN 554311367 (Tel: 9522450369)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Counselor

👤

Provider Name / Credentials Updated April 21, 2023

Recorded as ROY HADDAD, LPCC, LADC

✅

NPI Profile Active August 26, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2020

Registered at 5861 CEDAR LAKE RD, ST LOUIS PARK, MN 554161653 (Tel: 6122028703)

📍

Updated Business Mailing Address August 26, 2020

Registered at 5861 CEDAR LAKE RD, ST LOUIS PARK, MN 55416 (Tel: 6122028703)

👤

Provider Name / Credentials Updated August 26, 2020

Recorded as ROY HADDAD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Counselor

🟢

Initial NPI Registration & Enumeration August 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Roy Haddad. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508479700

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 26, 2020

Last Update: July 19, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8120 Penn Ave S Ste 500u

Bloomington, MN 554311367

Phone: 9522450369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.