Dennis Robert Taffe, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302518 Issued in MN

Practice address

712 Atlantic Ave
Suite 3
Morris, MN 56267

Phone

(320) 585-6180

Fax

(320) 585-6182

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Behavioral Network IV, LLC

  dba New Visions Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Morris, MN
  • NPI 1407042344
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1861635393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ATLANTIC AVE",
            "address_2": "SUITE 3",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "56267",
            "telephone_number": "320-585-6180",
            "fax_number": "320-585-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ATLANTIC AVE",
            "address_2": "SUITE 3",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "56267",
            "telephone_number": "320-585-6180",
            "fax_number": "320-585-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFE",
        "first_name": "DENNIS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stottler Management, PLLC (Morris Chiropractic Clinic)
• Ryan Stottler, DC
• Karla J Sundheim, MA, LMFT
• Jaclyn A Swinney
• Noelle Syverson, RDN, LD
• Kim H Tatsumi
• Matthew A Thomas
• Valerie J Thompson, NP
• Alyssa Kate Thooft, R.D.
• Tierza Thormodson

• Addiction (Substance Use Disorder) Counselor in Morris, MN
• Providers in Morris, 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 Apr 14, 2009; 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.