Professional Recovery Organization Network, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PROFESSIONAL RECOVERY ORGANIZATION NETWORK, LLC

Practice address

1687 Woodlane Dr Ste 208
Woodbury, MN 55125-3047

Phone

(507) 951-9980

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Rae Coscarelli, PHD

Title

Owner

Phone

(507) 951-9980

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• PRO NETWORK Other name

Electronic endpoints 1

Practitioners 1

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

• Melinda Coscarelli-Lutes

  • Addiction (Substance Use Disorder) Counselor
  • Harmony, MN
  • NPI 1598134645
  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1740938778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47842 BLUE HERON TRL",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "550692803",
            "telephone_number": "507-951-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR STE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253047",
            "telephone_number": "507-951-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RECOVERY ORGANIZATION NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "COSCARELLI",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-951-9980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598134645",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcoscarelli@professionalrecoveryorganization.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1687 Woodlane Dr Ste 208",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551253047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRO NETWORK",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PRO NETWORK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle L Privratsky, MA, CCC-SLP
• Daniel Timothy Probst, MD
• Procare Senior Consulting
• Valencia Patrice Proctor
• Professional Recovery Organization LLC
• Megan Marie Pruter, PHARM.D.
• Mary Pryor, OTR
• Brittany Przybylski
• Ptlinked, LLC
• Alissa Louise Puls, RN BSN

• Mental Health Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.