John Rundquist

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

300347 Issued in MN

Practice address

7250 Metro Blvd Ste 100
Edina, MN 55439-2145

Phone

(612) 374-0506

Fax

(651) 323-2051

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Aftercare Program

  dba The Rubicon

  • Addiction (Substance Use Disorder) Counselor
  • Edina, MN
  • NPI 1396322293
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1023589082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052125",
            "telephone_number": "612-374-0506",
            "fax_number": "651-323-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 METRO BLVD STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392145",
            "telephone_number": "612-374-0506",
            "fax_number": "651-323-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDQUIST",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@therubicon.org",
            "affiliation": "N",
            "address_1": "7250 Metro Blvd Ste 100",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554392145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J Jeffrey Ruegemer, MD
• Mathilde Ruffing Hilliard
• Adam David Rulnick, M.D.
• Kuwe Rumicho
• Carroll Duane Rund, M.D.
• Suzanne Kaye Runkel, PA C
• Stephanie Dawn Runyan, DO
• Russell N. Frys Jr,, DDS PA
• Laura Christine Russell, RD, CDE
• Margaret Patricia Russell, BS

• Addiction (Substance Use Disorder) Counselor in Edina, MN
• Providers in Edina, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.