Recovery Alliance LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY ALLIANCE LLC

Practice address

1421 Park Ave Ste 202
Minneapolis, MN 55404-1579

Phone

(612) 226-0907

NPI assigned

Jun 6, 2020

Organization subpart

No

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

Authorized official

Name

Obsa MohamedNPI 1194264549

Title

Ceo

Phone

(612) 226-0907

Specialties & licenses 1

Addresses

Other names 1

• Recovery alliance Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Sumitra Dorner

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1962692798
  Medicare reassignment NPD
• Obsa Mohamed

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1194264549
  NPD Authorized official

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1285258111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 PARK AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041579",
            "telephone_number": "612-226-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PARK AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041579",
            "telephone_number": "612-226-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OBSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-226-0907"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery alliance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas Melvin Recht, PSYD, LP
• Jessica Ann Rechtzigel, PHARM. D.
• Michael Bryan Reckard, MSW
• Christa Evett Reckner, RN
• Julie C Records, LICSW
• Recovery Care LLC
• Recovery Rehab Center Inc.
• Recuperative Haven Inc
• Recure
• Red Cricket Acupuncture, L.L.C.

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.