Active NPI
Mark Wachlin, LADC
- Addiction (Substance Use Disorder) Counselor
- Austin, MN
National Provider Identifier
1891221826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 303155
- Practice address
- 101 14TH St NW
Austin, MN 55912-4685 - Phone
- (507) 434-1903
- Fax
- (507) 434-1833
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303155 | MN | Primary |
Addresses
Primary practice location
101 14TH St NW
Austin, MN 55912-4685
Mailing address
101 14TH St NW
Austin, MN 55912-4685
Phone (507) 434-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303155 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1891221826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 14TH ST NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559124685",
"telephone_number": "507-434-1903",
"fax_number": "507-434-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 14TH ST NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559124685",
"telephone_number": "507-434-1903",
"fax_number": "507-434-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHLIN",
"first_name": "MARK",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
- Visionworks, Inc. (Visionworks)
- Heather Jo Voigt, APRN, CNP
- Deborah Ann Voogd, LPN
- Vop South Grove Lodge, LLC (South Grove Lodge Senior Living)
- Akaylah Maire Vue
- Gary Allen Wagenaar, MS LADC
- Jill Marie Wagner, MS
- Bruce Kevin Waite, D.O.
- Wal-Mart Stores, Inc. (Walmart Vision CEnter 30-4257)
- Walgreen Co (Walgreens #09094)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.