RECOVERY ALLIANCE DULUTH (NPI# 1750998423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750998423 |
| Entity Type | Organization |
| Organization Name | RECOVERY ALLIANCE DULUTH |
| Practice Address |
206 W 4th St Ste 203 Duluth MN 55806-2659 |
| Practice Telephone | 2185766005 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | BETH ELSTAD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2183103799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
206 W 4TH ST STE 203 |
| City | DULUTH |
| State | MN |
| Zip Code | 55806-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023339389 | Community Connection of Mn, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2701 W. Superior St., Suite 101, Duluth, MN 55806 | 2010-06-21 |
| 1902998875 | Stephen Thomas Hero | Dentist | 2016 W Superior Street, Duluth, MN 55806 | 2006-09-29 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
| 1013187855 | John Peter Vorderbruggen | Technician/Technologist | 901 N 23rd Ave W, Duluth, MN 55806-1244 | 2008-03-07 |
| 1891017638 | Jesse Dykhuis | Doula | 3304 Vernon St, Duluth, MN 55806-1327 | 2010-02-21 |
| 1619063039 | Andrew John Vasil | General Practice | 623 Pacific Ave, Duluth, MN 55806-1336 | 2006-10-04 |
| 1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
| 1265778005 | Jeremy Lee Walton | Occupational Therapist | 514 Winnipeg Ave, Duluth, MN 55806-1449 | 2012-12-26 |
| 1790147049 | Kathleen Ann Miller | Occupational Therapy Assistant | 2963 Exeter St, Duluth, MN 55806-1450 | 2016-03-25 |
| Find all providers in zip 55806 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152767 | Sara Eigenheer | Peer Specialist | 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 | 2020-10-19 |
| 1225636459 | Melanie Joann Wettstein | Peer Specialist | 5027 Evergreen Dr N Unit 3, Hugo, MN 55038-8578 | 2020-10-10 |
| 1184274904 | Twin Cities Recovery Project Inc | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-09-13 |
| 1821556614 | Minnesota Recovery Connection | Peer Specialist | 2446 University Ave W Ste 112, Saint Paul, MN 55114-1740 | 2019-03-11 |
| 1720527872 | Kerry Leno | Peer Specialist | 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | 2017-02-21 |
| 1265890073 | Miles Hamlin-zamojski | Peer Specialist | 3800 Aldrich Ave S, Apt 2, Minneapolis, MN 55409-1027 | 2016-02-08 |
| 1992347694 | Peter Green | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-10-14 |
| 1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
| 1780248807 | Sue Ann Stewart | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-24 |
| 1669036968 | Luann Gravelle | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.