Doug Paulson, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301950 Issued in MN

Practice address

222 9TH Ave W
Alexandria, MN 56308-2221

Phone

(320) 763-3912

Fax

(320) 763-6629

NPI assigned

Oct 2, 2014

Sex

Male

Sole proprietor

No

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.

• Unity Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glenwood, MN
  • NPI 1871250613
  NPD Authorized official

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1265835367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 9TH AVE W",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082221",
            "telephone_number": "320-763-3912",
            "fax_number": "320-763-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 9TH AVE W",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082221",
            "telephone_number": "320-763-3912",
            "fax_number": "320-763-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "DOUG",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Patzoldt
• Beverly J Paul, RN
• Annie Josephine Jane Paulsen
• Jessica R Paulsen, PA-C
• Cole Paulson
• Gary L Paulson, MD
• Susan D Paulson, MD
• Lynne Marie Payne-Richardson, PT
• Peaceful Bliss Assisted Living LLC
• Crystal Pearson

• 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 Oct 2, 2014; 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.