Organization Active NPI

Refocus Recovery

  • Peer Specialist
  • Minneapolis, MN
National Provider Identifier
1356919286
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
REFOCUS RECOVERY
Practice address
401 2ND Ave N Ste 500
Minneapolis, MN 55401-2097
Phone
(612) 644-6599
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Tim Sanders
Title
Executive Director
Phone
(612) 444-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

401 2ND Ave N Ste 500
Minneapolis, MN 55401-2097

Mailing address

401 2ND Ave N Ste 500
Minneapolis, MN 55401-2097
Phone (612) 644-6599

National Provider Directory

National Provider Directory

Locations

401 2nd Ave N
Ste 500
Minneapolis, MN 55401
Phone (612) 213-1519

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1356919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 2ND AVE N STE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012097",
            "telephone_number": "612-644-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 2ND AVE N STE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012097",
            "telephone_number": "612-644-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFOCUS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-444-6599"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.