NPIMap

Organization Active NPI

Northland Counseling Center, Inc

Doing business as Northland Recovery Pineview Center

  • Substance Abuse Rehabilitation Facility
  • Littlefork, MN
National Provider Identifier
1639625759
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1081102-1-CDT Issued in MN
Legal business name
NORTHLAND COUNSELING CENTER, INC
Doing business as
Northland Recovery Pineview Center
Practice address
912 Main St
Unit B
Littlefork, MN 56653-9378
Phone
(218) 278-4607
Fax
(218) 278-6223
NPI assigned
Aug 29, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Mr. Greg Walker
Title
Ceo
Phone
(218) 326-1274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1081102-1-CDT MN Primary

Addresses

Primary practice location

912 Main St
Unit B
Littlefork, MN 56653-9378

Mailing address

215 2ND Avenue SE
Grand Rapids, MN 55744-3615
Phone (218) 326-1274

Other names 1

  • Northland Recovery Pineview Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Counseling Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1639625759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 2ND AVENUE SE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615",
            "telephone_number": "218-326-1274",
            "fax_number": "218-327-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "address_2": "UNIT B",
            "city": "LITTLEFORK",
            "state": "MN",
            "postal_code": "566539378",
            "telephone_number": "218-278-4607",
            "fax_number": "218-278-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-326-1274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1081102-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Recovery Pineview Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littlefork, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.