John Francis Gorman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301764 Issued in MN

Practice address

1506 1St St
Princeton, MN 55371-1462

Phone

(763) 389-5080

Fax

(763) 389-5453

NPI assigned

Sep 16, 2012

Last updated

Sep 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347753600000",
    "number": "1831449933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 15TH AVE N",
            "address_2": "APARTMENT 205",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871197",
            "telephone_number": "952-201-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711462",
            "telephone_number": "763-389-5080",
            "fax_number": "763-389-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-16",
        "last_updated": "2012-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Princeton, MN
• Providers in Princeton, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.