True Foundation,LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1044690-2CDT Issued in MN

Legal business name

TRUE FOUNDATION,LLC

Practice address

8557 Wyoming Ave N Ste 6
Brooklyn Park, MN 55445-1847

Phone

(612) 203-9809

Fax

(763) 862-7005

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel W. Hurse, MSW,LADC,CAC,SAPNPI 1699034975

Title

Program Director

Phone

(612) 203-9809

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nathaniel W Hurse, LADC #301333

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn Park, MN
  • NPI 1699034975
  NPD (past) Authorized official

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1225318637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8557 WYOMING AVE N STE 6",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451847",
            "telephone_number": "612-203-9809",
            "fax_number": "763-862-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8557 WYOMING AVE N STE 6",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451847",
            "telephone_number": "612-203-9809",
            "fax_number": "763-862-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE FOUNDATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "HURSE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-203-9809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LADC,CAC,SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1044690-2CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 17, 2011; 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.