NPIMap

Organization Active NPI

Coscarelli Consulting, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woodbury, MN
National Provider Identifier
1821550005
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COSCARELLI CONSULTING, LLC
Practice address
1687 Woodlane Dr Ste 2002
Woodbury, MN 55125-3063
Phone
(507) 951-9980
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Melinda Rae Coscarelli, PHD
Title
Director
Phone
(507) 951-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1687 Woodlane Dr Ste 2002
Woodbury, MN 55125-3063

Mailing address

9437 Dunes LN
Cottage Grove, MN 55016-4681
Phone (507) 951-9980

Other identifiers 1

IdentifierTypeStateIssuer
1598134645MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melinda@coscarelliconsulting.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1687 Woodlane Dr
Ste 2002
Woodbury, MN 55125
Phone (507) 951-9980

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": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1821550005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9437 DUNES LN",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164681",
            "telephone_number": "507-951-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR STE 2002",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253063",
            "telephone_number": "507-951-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSCARELLI CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "COSCARELLI",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-951-9980",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598134645",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda@coscarelliconsulting.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1687 Woodlane Dr Ste 2002",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551253063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.