NPIMap

Organization Active NPI

Club Recovery LLC

Doing business as Club Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Edina, MN
National Provider Identifier
1023032703
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
10043993CDT Issued in MN
Legal business name
CLUB RECOVERY LLC
Doing business as
Club Recovery
Practice address
7701 York Ave S
Ste 350
Edina, MN 55435
Phone
(952) 926-2526
Fax
(952) 926-6791
NPI assigned
Jul 27, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Roy AtkinsNPI 1255629572
Title
Ceo
Phone
(952) 926-2526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 10043993CDT MN Primary

Addresses

Primary practice location

7701 York Ave S
Ste 350
Edina, MN 55435

Mailing address

7701 York Ave S
Ste 350
Edina, MN 55435
Phone (952) 926-2526

Other identifiers 11

IdentifierTypeStateIssuer
97283OtherMNHEALTH PARTNERS
8447176OtherMNUNITED BEHAVIORAL HEALTH
8447177OtherMNUNITED BEHAVIORAL HEALTH
8468358OtherMNUNITED BEHAVIORAL HEALTH
8448321OtherMNUNITED BEHAVIORAL HEALTH
918163600MedicaidMN
4D24CLOtherMNBLUE CROSS BLUE SHIELD
8448324OtherMNUNITED BEHAVIORAL HEALTH
164215OtherMNUCARE OF MN
8448323OtherMNUNITED BEHAVIORAL HEALTH
8448322OtherMNUNITED BEHAVIORAL HEALTH

Other names 1

  • Club Recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2037418Club Recovery LLC7701 York Ave S Suite 350, Edina, MN 55435Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

6550 York Ave S
#620
Edina, MN 55435

6550 York Ave S
Ste 620
Minneapolis, MN 55435
Phone (952) 926-2526

7701 York Ave S
Ste 350
Minneapolis, MN 55435
Phone (952) 926-2526

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1023032703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 YORK AVE S",
            "address_2": "STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-926-2526",
            "fax_number": "952-926-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 YORK AVE S",
            "address_2": "STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-926-2526",
            "fax_number": "952-926-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-926-2526"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "10043993CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "97283",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8447176",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8447177",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8468358",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8448321",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918163600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4D24CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8448324",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "164215",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8448323",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "8448322",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Club Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.