Active NPI
Levi Willis Strand
- Addiction (Substance Use Disorder) Counselor
- Fridley, MN
National Provider Identifier
1750134698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 304355
- Practice address
- 7590 Lyric LN NE
Fridley, MN 55432-3251 - Phone
- (763) 236-4370
- Fax
- (763) 236-4370
- NPI assigned
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304355 | MN | Primary |
Addresses
Primary practice location
7590 Lyric LN NE
Fridley, MN 55432-3251
Mailing address
7590 Lyric LN NE
Fridley, MN 55432-3251
Phone (763) 236-4370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 304355 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1750134698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7590 LYRIC LN NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323251",
"telephone_number": "763-236-4370",
"fax_number": "763-236-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 LYRIC LN NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323251",
"telephone_number": "763-236-4370",
"fax_number": "763-236-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAND",
"first_name": "LEVI",
"middle_name": "WILLIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.