The Regeneration Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

00089 Issued in MN

Legal business name

THE REGENERATION CENTER

Practice address

1307 Highway 29 N
Suite 1
Alexandria, MN 56308-5157

Phone

(320) 759-0794

Fax

(320) 759-9053

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Robert Johnson, L.P.C.

Title

Counselor

Phone

(320) 759-0794

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Counseling Services Doing business as

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1295911691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 HIGHWAY 29 N",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085157",
            "telephone_number": "320-759-0794",
            "fax_number": "320-759-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 HIGHWAY 29 N",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085157",
            "telephone_number": "320-759-0794",
            "fax_number": "320-759-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENERATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "320-759-0794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "00089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Swenson, SLP
• Scott A Swenson, M.D.
• Scott William Syverson, DPT
• Robert Steven Telste, MD
• Mallory Thang
• The Wellness PT LLC
• Nicole Theiler
• Rick D Thiery, DDS
• Thoennes Property MGMT, LLC
• Lindsey Thomas

• Community/Behavioral Health Agency in Alexandria, MN
• Providers in Alexandria, 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 Jan 17, 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.