Organization Active NPI

Anchor Recovery, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, MN
National Provider Identifier
1649934993
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANCHOR RECOVERY, LLC
Practice address
116 Central Ave
Buffalo, MN 55313-1521
Phone
(763) 250-7357
Fax
(855) 221-4223
NPI assigned
Oct 23, 2021
Last updated
Mar 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Authorized official

Name
Tonya Klug, BS, LADC
Title
Partner
Phone
(763) 639-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

116 Central Ave
Buffalo, MN 55313-1521

Mailing address

116 Central Ave
Buffalo, MN 55313-1521
Phone (762) 250-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430002868 MN Part B Supplier - Clinic/Group Practice 8820438443 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, MN

National Provider Directory

National Provider Directory
Tax ID family
Anchor Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13750 Crosstown Dr NW
Ste 10
Andover, MN 55304
Phone (763) 250-7357

Practitioners & affiliated clinicians

Practitioners 4

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": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1649934993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CENTRAL AVE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131521",
            "telephone_number": "762-250-7357",
            "fax_number": "855-221-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CENTRAL AVE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131521",
            "telephone_number": "763-250-7357",
            "fax_number": "855-221-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "KLUG",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "763-639-2440",
        "authorized_official_credential": "BS, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.