Individual provider Active NPI

Lynn Marie Allar, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1114584760
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
800287 Issued in MN
Practice address
2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone
(612) 874-9811
Fax
(612) 874-9820
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 800287 MN Primary

Addresses

Primary practice location

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395

Mailing address

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone (612) 874-9811

Other identifiers 1

IdentifierTypeStateIssuer
300640OtherMNLADC

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
800287MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Create Inc Addiction (Substance Use Disorder) Current Accepting new patients
Community Resources for Education Alternative Treatments & Evaluation Addiction (Substance Use Disorder) CurrentSince Feb 6, 2022 Accepting new patients

Locations

2200 E Franklin Ave
Ste 200A
Minneapolis, MN 55404
Phone (612) 874-9811

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1114584760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAR",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "800287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADC",
            "identifier": "300640",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.