Individual provider Active NPI

Rowland George Stetson, LADC,

  • Addiction (Substance Use Disorder) Counselor
  • Moorhead, MN
National Provider Identifier
1447585989
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302721 Issued in MN
Practice address
715 11TH St N Ste 204
Moorhead, MN 56560-2000
Phone
(218) 233-6398
Fax
(218) 233-6765
NPI assigned
Oct 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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 302721 MN Primary

Addresses

Primary practice location

715 11TH St N Ste 204
Moorhead, MN 56560-2000

Mailing address

22803 County Highway 110
Fergus Falls, MN 56537-8202
Phone (218) 205-7829

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
302721MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1447585989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22803 COUNTY HIGHWAY 110",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565378202",
            "telephone_number": "218-205-7829",
            "fax_number": "218-236-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 11TH ST N STE 204",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602000",
            "telephone_number": "218-233-6398",
            "fax_number": "218-233-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSON",
        "first_name": "ROWLAND",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LADC,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.