Organization Active NPI

Recovery 4 Today PLLC

  • Substance Abuse Rehabilitation Facility
  • Willmar, MN
National Provider Identifier
1619722675
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RECOVERY 4 TODAY PLLC
Practice address
1700 Technology Dr NE Suite 203 #2
Willmar, MN 56201-2295
Phone
(320) 905-6152
Fax
(320) 262-8393
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Kathryn (Katie) A Wagner, LADC
Title
President
Phone
(320) 905-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1700 Technology Dr NE Suite 203 #2
Willmar, MN 56201-2295

Mailing address

1700 Technology Dr NE Suite 203 #2
Willmar, MN 56201-2295
Phone (320) 905-6152

National Provider Directory

National Provider Directory

Locations

1700 Technology Dr NE
Ste 203
Willmar, MN 56201
Phone (320) 905-6152

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1619722675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TECHNOLOGY DR NE SUITE 203 #2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012295",
            "telephone_number": "320-905-6152",
            "fax_number": "320-262-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TECHNOLOGY DR NE SUITE 203 #2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012295",
            "telephone_number": "320-905-6152",
            "fax_number": "320-262-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY 4 TODAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATHRYN (KATIE)",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-905-6152",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.