Gary Dennis Christianson, L.A.D.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302526 Issued in MN

Practice address

900 5TH St Ste 301
International Falls, MN 56649

Phone

(218) 285-7029

Fax

(218) 285-7072

NPI assigned

Oct 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rainy River Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • International Falls, MN
  • NPI 1033403753
  NPD (past) Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1093226508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 5TH ST STE 301",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649",
            "telephone_number": "218-285-7029",
            "fax_number": "218-285-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 5TH ST STE 301",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649",
            "telephone_number": "218-285-7029",
            "fax_number": "218-285-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "GARY",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "L.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Monroe Carney, D.C.
• Tami Jo Casareto, RN
• Cedar Branch Counseling Group, PLLC
• Katie Chezick, PHARM.D
• Joan Christensen, MA, LPP
• Bruce A Christopherson
• City Cab & Van Service, Inc.
• City of International Falls
• Alyssa Louann Clarity, DC
• Mary Clark, LMFT

• Addiction (Substance Use Disorder) Counselor in International Falls, MN
• Providers in International Falls, 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 Oct 26, 2017; 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.