Active NPI
Noah Rector, LICSW, LADC, MED.
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1003468547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23792
- Practice address
- 2353 Rice St
Saint Paul, MN 55113-3739 - Phone
- (612) 979-2683
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303990 | MN | |
| Clinical Social Worker | 1041C0700X | 23792 | MN | Primary |
Addresses
Primary practice location
2353 Rice St
Saint Paul, MN 55113-3739
Mailing address
2353 Rice St Ste 105
Saint Paul, MN 55113-3721
Phone (612) 979-2683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303990 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 23792 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Inc. | Clinical | Current | Accepting new patients |
Locations
2353 Rice St
Ste 105
Saint Paul, MN 55113
Phone (612) 979-2683
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1003468547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 RICE ST STE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551133721",
"telephone_number": "612-979-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551133739",
"telephone_number": "612-979-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "NOAH",
"credential": "LICSW, LADC, MED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303990",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.