Patricia Joann Friedman, LADC BCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304163 Issued in MN

Practice address

8040 Old Cedar Ave S Ste 100
Bloomington, MN 55425-1205

Phone

(952) 693-0080

Fax

(952) 955-6567

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Alliance Wellness Clinic Inc.

  • Methadone Clinic
  • Bloomington, MN
  • NPI 1780186130
  NPD Authorized official

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1194230045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR AVE S STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251205",
            "telephone_number": "952-693-0080",
            "fax_number": "952-955-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR AVE S STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251205",
            "telephone_number": "952-693-0080",
            "fax_number": "952-955-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "PATRICIA",
        "middle_name": "JOANN",
        "name_prefix": "Ms.",
        "credential": "LADC  BCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADC",
            "identifier": "304163",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tsue French, BCTMB
• Erin Michelle Freshwater
• Annika Frey
• Erica Diane Frey
• Cassandra Friedli, DPT
• Megan Fritsch, OTR/L
• Kimberly Butler Fryer, MA/ CCC-SLP
• Hannah Fuher
• Megan Fuka, OTD, OTR/L
• Rollin William Fuller Jr., MD

• Addiction (Substance Use Disorder) Counselor in Bloomington, MN
• Providers in Bloomington, 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 May 21, 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.