Addiction Counseling Treatment Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10422051CDT Issued in MN

Legal business name

ADDICTION COUNSELING TREATMENT SERVICES

Practice address

112 5TH St.
Gaylord, MN 55334

Phone

(507) 238-2716

Fax

(507) 237-2736

NPI assigned

Oct 13, 2006

Organization subpart

No

Name

Daniel J. Ruesgen, LADC

Title

Director

Phone

(507) 237-2716

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2008.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1376633743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 5TH ST.",
            "address_2": "P.O. BOX 700",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "55334",
            "telephone_number": "507-238-2716",
            "fax_number": "507-237-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 5TH ST.",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "55334",
            "telephone_number": "507-238-2716",
            "fax_number": "507-237-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION COUNSELING TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "RUESGEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-237-2716",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "10422051CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340090500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gaylord, MN
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.