Cindy Joann Bjerkaas, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304965 Issued in MN

Practice address

909 Broadway St
Alexandria, MN 56308-1813

Phone

(320) 763-0124

Fax

(320) 763-0126

NPI assigned

Nov 30, 2017

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

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 and National Provider Directory roles.

• Thrive Behavioral Network IV, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Morris, MN
  • NPI 1407042344
  NPD (past)
• Thrive Behavioral Network IV, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Alexandria, MN
  • NPI 1740359199
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194239095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081813",
            "telephone_number": "320-763-0124",
            "fax_number": "320-763-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081813",
            "telephone_number": "320-763-0124",
            "fax_number": "320-763-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Atlantic Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "MN",
            "postal_code": "562671180",
            "country_code": "US",
            "telephone_number": "320-585-6180",
            "fax_number": "320-585-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 9th Ave W",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082221",
            "country_code": "US",
            "telephone_number": "320-763-3912",
            "fax_number": "320-763-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJERKAAS",
        "first_name": "CINDY",
        "middle_name": "JOANN",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Bergstrand, MD
• Maxwell Alan Berscheit, NP-C
• Bethany on the Lake LLC
• Dorothy Mae Bisek, LICSW
• Nancy Bittmann
• Ashton Blair
• Jessica L Blanchard, BSN, RN, SANE
• Blanco Solutions LLC
• Jacie Blenker
• Amber Michelle-Houge Block

• Addiction (Substance Use Disorder) Counselor in Alexandria, MN
• Providers in Alexandria, 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 Mar 17, 2018; 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.