Nivon Wellness Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NIVON WELLNESS CENTER LLC

Practice address

7501 80TH St S Ste 108 & 200
Cottage Grove, MN 55016-4121

Phone

(612) 564-8073

NPI assigned

Apr 20, 2018

Last updated

Sep 30, 2019By 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

Nicole M Billingsley, LADC

Title

Owner/Treatment Director

Phone

(612) 564-8073

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Nicole Davis, MSW, LICSW, LADC

  • Mental Health Counselor
  • St Paul Park, MN
  • NPI 1457846313
  NPD
• Ann R Cook, BA, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Cottage Grove, MN
  • NPI 1093372302
  NPD (past)
• Donna D Randall, MD

  • Obstetrics & Gynecology Physician
  • Maplewood, MN
  • NPI 1750311320
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1376030700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 108",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164121",
            "telephone_number": "612-564-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 108 & 200",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164121",
            "telephone_number": "612-564-8073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Minnehaha Ave E Ste 345",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551064437",
            "country_code": "US",
            "telephone_number": "612-564-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 E 131st St",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553373951",
            "country_code": "US",
            "telephone_number": "612-636-8132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIVON WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "612-564-8073",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Nelson, MD
• Hannah Nevin
• Eustus Kaluba Ngona
• Derick Ngu
• Hanh T Nguyen, RPH
• Lionel Njitor
• Eric Richard Nohner, DC
• Anne Noriega
• North Star Consulting Solutions LLC
• Northland Dental Partners, PLLC (Metro Dentalcare Cottage Grove)

• Substance Abuse Rehabilitation Facility in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.