Organization Active NPI

Recovery Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Paynesville, MN
National Provider Identifier
1801420039
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RECOVERY CENTER LLC
Doing business as
Recovery Center 2
Practice address
109 W James St
Paynesville, MN 56362-1216
Phone
(320) 296-1121
NPI assigned
Feb 26, 2020
Organization subpart
Yes
Parent organization
RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Mae Maurer-RogersNPI 1386113058
Title
Owner/Director
Phone
(320) 296-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

109 W James St
Paynesville, MN 56362-1216

Mailing address

109 W James St
Paynesville, MN 56362-1216
Phone (320) 296-1121

Other names 1

  • Recovery Center 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Center LLC2 organizations share this tax ID, including this one
Part of
Recovery Center LLC

Other organizations with this tax ID 1

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

Locations

109 W James St
Paynesville, MN 56362
Phone (320) 296-1121

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1801420039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621216",
            "telephone_number": "320-296-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W JAMES ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621216",
            "telephone_number": "320-296-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY CENTER LLC",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MAURER-ROGERS",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "320-296-1121"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Center 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paynesville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.