Individual provider Active NPI

Dominic Joseph Carchedi

  • Addiction (Substance Use Disorder) Counselor
  • Saint Paul, MN
National Provider Identifier
1386553410
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
FBL-44745-65516 Issued in MN
Practice address
418 Sherburne Ave
Saint Paul, MN 55103-1941
Phone
(612) 819-4966
Fax
(612) 787-0633
NPI assigned
Sep 3, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X FBL-44745-65516 MN Primary

Addresses

Primary practice location

418 Sherburne Ave
Saint Paul, MN 55103-1941

Mailing address

3757 Foss Rd
Minneapolis, MN 55421-4513
Phone (612) 819-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1386553410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 FOSS RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214513",
            "telephone_number": "612-819-4966",
            "fax_number": "612-787-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHERBURNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031941",
            "telephone_number": "612-819-4966",
            "fax_number": "612-787-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCHEDI",
        "first_name": "DOMINIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "FBL-44745-65516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.