Individual provider Active NPI

Patrick Zerwas, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Wadena, MN
National Provider Identifier
1033495619
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302213 Issued in MN
Practice address
314 Jefferson St S
Wadena, MN 56482-1534
Phone
(218) 820-0942
NPI assigned
Oct 27, 2011
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302213 MN Primary

Addresses

Primary practice location

314 Jefferson St S
Wadena, MN 56482-1534

Mailing address

1007 5TH Ave NE
Brainerd, MN 56401-2208
Phone (218) 820-0942

Other practice location 1

1007 5th Ave NE
Brainerd, MN 56401-2208
Phone (218) 820-0942

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

State licenses

LicenseStateTypeSpecialty
302213MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1033495619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 5TH AVE NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012208",
            "telephone_number": "218-820-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 JEFFERSON ST S",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821534",
            "telephone_number": "218-820-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 5th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564012208",
            "country_code": "US",
            "telephone_number": "218-820-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZERWAS",
        "first_name": "PATRICK",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.