NPIMap

Organization Active NPI

Mankato Chemical Health, LLC

  • Addiction (Substance Use Disorder) Counselor
  • North Mankato, MN
National Provider Identifier
1124684907
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MANKATO CHEMICAL HEALTH, LLC
Practice address
1826 Commerce Dr
North Mankato, MN 56003-1800
Phone
(507) 229-0350
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Amanda Lee Burg, LADCNPI 1144731001
Title
Owner
Phone
(507) 229-0350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1826 Commerce Dr
North Mankato, MN 56003-1800

Mailing address

1826 Commerce Dr
North Mankato, MN 56003-1800
Phone (507) 229-0350

Other names 1

  • Mankato Chemical Health, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

360 Pierce Ave
Ste 206
North Mankato, MN 56003
Phone (507) 229-0350

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1124684907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031800",
            "telephone_number": "507-229-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031800",
            "telephone_number": "507-229-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO CHEMICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BURG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-229-0350",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mankato Chemical Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mankato Chemical Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.