NPIMap

Organization Active NPI

Upper Sioux Community

  • Addiction (Substance Use Disorder) Counselor
  • Granite Falls, MN
National Provider Identifier
1962549022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
301298 Issued in MN
Legal business name
UPPER SIOUX COMMUNITY
Practice address
5744 Hwy 67
Granite Falls, MN 56241
Phone
(320) 564-2360
Fax
(320) 564-2550
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joe Whitehawk, LCDC
Title
CD Counselor
Phone
(320) 564-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 301298 MN Primary

Addresses

Primary practice location

5744 Hwy 67
Granite Falls, MN 56241

Mailing address

PO Box 147
Granite Falls, MN 56241-0147
Phone (320) 564-2360

National Provider Directory

National Provider Directory
Tax ID family
Upper Sioux Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962549022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562410147",
            "telephone_number": "320-564-2360",
            "fax_number": "320-564-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 HWY 67",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-564-2360",
            "fax_number": "320-564-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SIOUX COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHAWK",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CD COUNSELOR",
        "authorized_official_telephone_number": "320-564-6356",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.