Five Star Recovery Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

FIVE STAR RECOVERY CENTER

Practice address

102 E 2ND St
Suite 110B
Chaska, MN 55318-1966

Phone

(952) 448-6557

Fax

(952) 448-6047

NPI assigned

Sep 21, 2006

Last updated

Nov 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason David Vanderscoff

Title

Managing Director

Phone

(952) 448-6557

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, and the practitioner matching its NPPES authorized official.

• Molly Stommes

  • Nurse Practitioner
  • Chaska, MN
  • NPI 1811349004
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1235237199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 2ND ST",
            "address_2": "SUITE 110B",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181966",
            "telephone_number": "952-448-6557",
            "fax_number": "952-448-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 2ND ST",
            "address_2": "SUITE 110B",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181966",
            "telephone_number": "952-448-6557",
            "fax_number": "952-448-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "VANDERSCOFF",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "952-448-6557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakaria Farah
• Rebecca D Fedie, PT
• Martha Glas Field, LICSW
• Joy Irene Fischer, MSW, LICSW
• Catherine F. Fitterer, LICSW
• Five Stars Recovery Center (Five Stars Clinical Laboratory)
• Marria Elizabeth Fjelstad
• Connor Ryan Flack, DPT, PT
• Megan Elizabeth Flynn, PHARMD
• Charlene Ann Forcier, MS, LMFT

• Addiction (Substance Use Disorder) Counselor in Chaska, MN
• Providers in Chaska, 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 Nov 25, 2008; 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.