Individual provider Active NPI

Steven Robert Lefkowich, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Stillwater, MN
National Provider Identifier
1649563222
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302704 Issued in MN
Practice address
11400 Julianne Ave N
Stillwater, MN 55082-9436
Phone
(651) 426-3300
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302704 MN Primary

Addresses

Primary practice location

11400 Julianne Ave N
Stillwater, MN 55082-9436

Mailing address

905 8TH Ave S
South Saint Paul, MN 55075-2912
Phone (612) 703-1174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
302704MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1649563222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 8TH AVE S",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550752912",
            "telephone_number": "612-703-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 JULIANNE AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829436",
            "telephone_number": "651-426-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOWICH",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.