Active NPI
Aeriel Recovery Services
- Community/Behavioral Health Agency
- Duluth, MN
National Provider Identifier
1063194249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AERIEL RECOVERY SERVICES
- Practice address
- 412 W Superior St
Duluth, MN 55802-1512 - Phone
- (218) 341-7699
- NPI assigned
- Aug 7, 2023
- Last updated
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- October Allen
- Title
- Owner & Ceo
- Phone
- (218) 341-7699
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
412 W Superior St
Duluth, MN 55802-1512
Mailing address
412 W Superior St
Duluth, MN 55802-1512
Phone (218) 390-0929
National Provider Directory
National Provider DirectoryLocations
412 W Superior St
Duluth, MN 55802
Phone (218) 341-7699
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Addiction (Substance Use Disorder) Counselor
- Duluth, MN
- NPI 1336958941
-
- Addiction (Substance Use Disorder) Counselor
- Duluth, MN
- NPI 1861327108
-
- Mental Health Counselor
- Duluth, MN
- NPI 1053936625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1063194249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021512",
"telephone_number": "218-390-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021512",
"telephone_number": "218-341-7699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AERIEL RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "OCTOBER",
"authorized_official_title_or_position": "OWNER & CEO",
"authorized_official_telephone_number": "218-341-7699"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.