L.D.D., Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8070981CDT Issued in MN

Legal business name

L.D.D., INC.

Practice address

5810 42ND Ave N
Robbinsdale, MN 55422-1634

Phone

(763) 531-9488

Fax

(763) 531-9591

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samuel L. Stern, J.D.

Title

Executive Vice President

Phone

(763) 531-9488

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• West Metro Recovery Services Doing business as

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255359154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221634",
            "telephone_number": "763-531-9488",
            "fax_number": "763-531-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221634",
            "telephone_number": "763-531-9488",
            "fax_number": "763-531-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.D.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "763-531-9488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "8070981CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9153WE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PATNERS",
            "identifier": "16130",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Metro Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Leigh Krueger, APRN,CNM
• Xoua Kue, PHARMD
• Debra Lorraine Kuehl, OTR/L
• Barbara J. Kunz, M.S.,CGC
• Inna Kuznetsov
• Laboratory Corporation of America
• Karen Louise Ladin, NP
• Alexander C W Lai, MD
• Lake Town Homecare, LLC
• Christopher Sean Lanctin, PA-C

• Addiction (Substance Use Disorder) Counselor in Robbinsdale, MN
• Providers in Robbinsdale, 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 22, 2020; 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.