The Recovery Space LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE RECOVERY SPACE LLC

Practice address

522 Beltrami Ave NW Ste 11
Bemidji, MN 56601-3181

Phone

(612) 219-5373

Fax

(218) 520-3927

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By 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

Isabella Katherine Schaefer, LADCNPI 1710559182

Title

Owner

Phone

(612) 219-5373

Specialties & licenses 1

Addresses

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.

• Isabella K Schaefer, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Bemidji, MN
  • NPI 1710559182
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1396598322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 11",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013181",
            "telephone_number": "612-219-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 11",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013181",
            "telephone_number": "612-219-5373",
            "fax_number": "218-520-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RECOVERY SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-219-5373",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.