Professional Recovery Organization LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PROFESSIONAL RECOVERY ORGANIZATION LLC

Practice address

700 Commerce Dr Ste 245
Woodbury, MN 55125-2552

Phone

(651) 204-9144

Fax

(651) 364-7445

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Lauren Fortman, MA LPCC LADCNPI 1811366891

Title

Owner

Phone

(651) 204-9144

Specialties & licenses 2

Addresses

Other names 1

• PRO Recovery and Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Fortman, MA, LADC, LPCC

  • Professional Counselor
  • Minnetonka, MN
  • NPI 1811366891

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1639715402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR STE 245",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252552",
            "telephone_number": "651-204-9144",
            "fax_number": "651-364-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR STE 245",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252552",
            "telephone_number": "651-204-9144",
            "fax_number": "651-364-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RECOVERY ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FORTMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-204-9144",
        "authorized_official_credential": "MA LPCC LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Recovery and Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priority Pediatrics,P.a.
• Danielle L Privratsky, MA, CCC-SLP
• Daniel Timothy Probst, MD
• Procare Senior Consulting
• Valencia Patrice Proctor
• Professional Recovery Organization Network, LLC
• Megan Marie Pruter, PHARM.D.
• Mary Pryor, OTR
• Brittany Przybylski
• Ptlinked, LLC

• Professional Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.