Active NPI
Richard Lee Colsen
- Addiction (Substance Use Disorder) Counselor
- Cloquet, MN
National Provider Identifier
1750544839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 301632
- Practice address
- Fond Du Lac Human Services Division
927 Trettel Lane
Cloquet, MN 55720 - Phone
- (218) 878-2185
- Fax
- (218) 878-2188
- NPI assigned
- Jul 8, 2008
- Last updated
- Jul 8, 2008
- 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 | 301632 | MN | Primary |
Addresses
Primary practice location
Fond Du Lac Human Services Division
927 Trettel Lane
Cloquet, MN 55720
Mailing address
Fond Du Lac Human Services Division
927 Trettel Lane
Cloquet, MN 55720
Phone (218) 878-3875
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 |
|---|---|---|---|
| 301632 | 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": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1750544839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FOND DU LAC HUMAN SERVICES DIVISION",
"address_2": "927 TRETTEL LANE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-878-3875",
"fax_number": "218-878-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOND DU LAC HUMAN SERVICES DIVISION",
"address_2": "927 TRETTEL LANE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-878-2185",
"fax_number": "218-878-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLSEN",
"first_name": "RICHARD",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "301632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
- Cloquet Isd 94
- Cloquet Psychological
- Cloquet Psychological LLC
- Stacy Leah Colich
- Nicole Collins, LICSW
- Community Memorial Hospital Association
- Community Memorial Hospital Association
- Community Memorial Hospital Association
- Community Memorial Hospital Association
- Compass Rose Counseling and Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.