Theodore Donald Barthel, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Winona, MN
NPI 1619509205 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1619509205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 305670 (MN)
- Practice address
- 420 E Sarnia St Ste 2100
Winona, MN 55987-6414 - Phone
- (507) 454-4341
- Fax
- (507) 453-6267
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305670 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiawatha Valley Mental Health Center Inc. | Past |
Accepting new patients | |
| Hiawatha Valley Mental Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305670 | MN | Yes |
Addresses
Primary practice location
420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Mailing address
420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341
Other providers in Winona, MN
- Carrie Theresa Bailey
- Mary Jo Baldus
- Alexandra Catherine Bares
- Daniel Ross Barr
- Delani Barrett
- Ryan Bartol
- Baihley Lynn Bartz
- Erika Hope Bathke
- Cassidy Phoenix Ela Bauer
- Kayla Rae Baxter
All providers in Winona, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.