Fellowship Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FELLOWSHIP RECOVERY LLC

Doing business as

Fellowship Recovery

Practice address

1516 W Lake St Ste 205
Minneapolis, MN 55408-2554

Phone

(517) 230-4742

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary PierceNPI 1407441850

Title

Ceo and Treatment Director

Phone

(517) 230-4742

Specialties & licenses 1

Addresses

Other names 1

• Fellowship Recovery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Pierce

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
  • NPI 1407441850

  Rehabilitation, Substance Use Disorder

  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1306591474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554",
            "telephone_number": "517-230-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO AND TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "517-230-4742"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Ann Feliciano, MD
• Felix R Montez (Felix Montez, LPCC, LADC)
• Mattilyn A Fellegy, CRNA
• Isadora L Felling, PMHNP-BC
• Fellowship Home Care LLC
• Kayla Elisabeth Felten, LICSW
• Ian D Felton, LPC
• Shaun Felton, RRT
• Benjamin Felz, ATC
• Mark John Femling, MA, LPCC

• Substance Use Disorder Rehabilitation Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.