NPIMap

Organization Active NPI

Northland Counseling Center, Inc.

Doing business as Northland Recovery Aitkin Center

  • Addiction (Substance Use Disorder) Counselor
  • Aitkin, MN
National Provider Identifier
1073136073
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NORTHLAND COUNSELING CENTER, INC.
Doing business as
Northland Recovery Aitkin Center
Practice address
601 Bunker Hill Dr
Aitkin, MN 56431-1864
Phone
(218) 670-0005
Fax
(218) 429-0017
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHLAND COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Wendy Faye Scheldrup
Title
Ar Manager
Phone
(218) 327-1151

Specialties & licenses 1

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

Addresses

Primary practice location

601 Bunker Hill Dr
Aitkin, MN 56431-1864

Mailing address

215 SE 2ND Ave
Grand Rapids, MN 55744-3615
Phone (218) 327-1151

Other names 1

  • Northland Recovery Aitkin Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Counseling Center10 organizations share this tax ID, including this one
Part of
Northland Counseling Center

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1073136073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615",
            "telephone_number": "218-327-1151",
            "fax_number": "218-327-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311864",
            "telephone_number": "218-670-0005",
            "fax_number": "218-429-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND COUNSELING CENTER, INC.",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "SCHELDRUP",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "218-327-1151"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Recovery Aitkin Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aitkin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.