Organization Active NPI

Off-Grid LLC

Doing business as Spirits At Rest LLC

  • Addiction (Substance Use Disorder) Counselor
  • Le Roy, MN
National Provider Identifier
1639019979
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
OFF-GRID LLC
Doing business as
Spirits At Rest LLC
Practice address
119 W Main St
Le Roy, MN 55951-6709
Phone
(507) 577-1415
NPI assigned
Mar 30, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Carl Dale White, LICSW, LADCNPI 1699214890
Title
Ceo
Phone
(507) 577-1415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

119 W Main St
Le Roy, MN 55951-6709

Mailing address

119 W Main St
Le Roy, MN 55951-6709
Phone (507) 577-1415

Other names 1

  • Spirits At Rest LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Spirits at Rest

Locations

119 W Main St
Le Roy, MN 55951
Phone (507) 577-1415

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": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1639019979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "LE ROY",
            "state": "MN",
            "postal_code": "559516709",
            "telephone_number": "507-577-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "LE ROY",
            "state": "MN",
            "postal_code": "559516709",
            "telephone_number": "507-577-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFF-GRID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-577-1415",
        "authorized_official_credential": "LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirits At Rest LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Roy, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.