Randi Jo Resler, BA, BCC, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303661 Issued in MN

Practice address

2400 St. Francis Drive
Breckenridge, MN 56520

Phone

(218) 643-0499

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1194158899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E BEECH AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371623",
            "telephone_number": "218-282-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST. FRANCIS DRIVE",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "56520",
            "telephone_number": "218-643-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESLER",
        "first_name": "RANDI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "BA, BCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST FRANCIS HEALTHCARE CAMPUS",
            "identifier": "410695598",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Marie Perry, M.ED.
• Mata Marie Peterson, LSW, LADC
• Timoth Y John Peterson
• Jazmin Marie Reckmo
• Red River Anesthesia P C
• Ricardo Ascano, LTD
• Hannah Riveland, PT, DPT
• Marci Krista Roen, RN
• Azeez Folorunsho Rufai, NP
• Jennifer L Schalekamp, PT

• Addiction (Substance Use Disorder) Counselor in Breckenridge, MN
• Providers in Breckenridge, 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 Aug 16, 2013; 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.