NPIMap

Organization Active NPI

Avalon Programs, LLC

Doing business as New Beginnings Minnesota at Stillwater

  • Substance Abuse Rehabilitation Facility
  • Stillwater, MN
National Provider Identifier
1871627232
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
8307783CDT Issued in MN
Legal business name
AVALON PROGRAMS, LLC
Doing business as
New Beginnings Minnesota at Stillwater
New Beginnings at Stillwater
Practice address
1825 Curve Crest Blvd West
Suite 103
Stillwater, MN 55082
Phone
(651) 351-9325
Fax
(651) 351-0162
NPI assigned
Mar 15, 2007
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Lisa Marie Asper, MBA
Title
Director Contract, Cred, and Payer
Phone
(612) 454-2046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MN
Substance Abuse Rehabilitation Facility 324500000X 8307783CDT MN Primary

Addresses

Primary practice location

1825 Curve Crest Blvd West
Suite 103
Stillwater, MN 55082

Mailing address

550 Main Street
Suite 230
New Brighton, MN 55112
Phone (612) 326-7600

Other names 2

  • New Beginnings Minnesota at Stillwater Doing business as
  • New Beginnings at Stillwater Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avalon Programs LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1871627232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN STREET",
            "address_2": "SUITE 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-326-7600",
            "fax_number": "651-631-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CURVE CREST BLVD WEST",
            "address_2": "SUITE 103",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-351-9325",
            "fax_number": "651-351-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "ASPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR CONTRACT, CRED, AND PAYER",
        "authorized_official_telephone_number": "612-454-2046",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "8307783CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Minnesota at Stillwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Beginnings at Stillwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.