Theodore J. Pierzina, MN-LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1016047-1-CDT Issued in MN

Practice address

33 S Walnut St Ste 100
La Crescent, MN 55947-1319

Phone

(507) 895-6666

Fax

(507) 895-6667

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theodore J. Pierzina

  dba Counseling Clinic La Crescent

  • Community/Behavioral Health Agency
  • La Crescent, MN
  • NPI 1073789939
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154401461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S WALNUT ST STE 100",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471319",
            "telephone_number": "507-895-6666",
            "fax_number": "507-895-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S WALNUT ST STE 100",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471319",
            "telephone_number": "507-895-6666",
            "fax_number": "507-895-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERZINA",
        "first_name": "THEODORE",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MN-LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1016047-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa J Nutter, APNP
• Kasey Marie Payne, D.C.
• Shelby Devon Reynolds, PTA
• River Bluffs Health and Wellness PLLC (River Bluffs Health and Wellness)
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• Rushford Drug Co (Witt's Pharmacy - LaCrescent)
• Jared Steven Sanness, PTA

• Addiction (Substance Use Disorder) Counselor in La Crescent, MN
• Providers in La Crescent, 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 Jul 8, 2007; 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.