Frazier Recovery Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

FRAZIER RECOVERY SERVICES

Practice address

621 Marie Ave
South St Paul, MN 55075-2039

Phone

(651) 895-4440

Fax

(651) 413-2877

NPI assigned

Apr 23, 2019

Last updated

Jan 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

Elizabeth Frances Rezek, LICSW, LADCNPI 1134432925

Title

Owner/Clinical Director

Phone

(651) 895-4440

Specialties & licenses 3

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.

• Elizabeth Frances Rezek, LICSW

  • Clinical Social Worker
  • Cottage Grove, MN
  • NPI 1134432925
  NPD Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1609430958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550160142",
            "telephone_number": "651-895-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MARIE AVE",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752039",
            "telephone_number": "651-895-4440",
            "fax_number": "651-413-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Highway 55",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550332368",
            "country_code": "US",
            "telephone_number": "651-756-8460",
            "fax_number": "651-756-8470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRAZIER RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "REZEK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-895-4440",
        "authorized_official_credential": "LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Louise Fensholt, DDS
• Lynn Marie Ferguson, OTA/L
• Tigist Fersha
• Julie C Foote, D.C.
• Bridget Ann Forbrook, OTR/L
• Emiliano Granados, CSCS
• Solveig A Hansen, MD
• Health 1St Chiropractic and Wellness Center, P.C.
• Erin Nichole Hedstrom, LADC
• Linda F. Hernandez, RN

• Addiction (Substance Use Disorder) Counselor in South St Paul, MN
• Providers in South St Paul, 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 Jan 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.