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

Organization subpart

No

Name

Mr. Jason David Vanderscoff

Title

Managing Director

Phone

(952) 448-6557

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

• Molly Stommes

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "82387",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724455000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH / MEDICA",
            "identifier": "8409617",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF ONE",
            "identifier": "1031769",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "4C35FI",
            "state": null
        }
    ],
    "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
• Marria Elizabeth Fjelstad
• Connor Ryan Flack, DPT, PT
• Megan Elizabeth Flynn, PHARMD
• Charlene Ann Forcier, MS, LMFT

• All providers in Chaska, MN
• 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.