Ambassadors for Spiritual & Mental Wellness

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1085116-1-SUDX Issued in MN

Legal business name

AMBASSADORS FOR SPIRITUAL & MENTAL WELLNESS

Doing business as

Recovery 101 Counseling Center

Practice address

23 Minnesota St S
New Ulm, MN 56073

Phone

(507) 359-7101

Fax

(651) 323-2053

NPI assigned

Feb 6, 2017

Last updated

Sep 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wade Lynn Lang, LPCC, LADC

Title

Executive Director

Phone

(507) 359-7101

Specialties & licenses 2

Addresses

Other names 1

• Recovery 101 Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535760000000",
    "number": "1962940338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MINNESOTA ST. S PO BOX 68",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "56073",
            "telephone_number": "507-359-7101",
            "fax_number": "651-323-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MINNESOTA ST S",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "56073",
            "telephone_number": "507-359-7101",
            "fax_number": "651-323-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S. Broadway",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "56073",
            "country_code": "US",
            "telephone_number": "507-201-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBASSADORS FOR SPIRITUAL & MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-09-01",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-359-7101",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "21041",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1085116-1-SUDX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery 101 Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery 101 Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (New Ulm Medical Center)
• Allina Health System (Allina Health Mental Health - New Ulm Clinic)
• Allina Health System (New Ulm Medical Center)
• Allina Health System (New Ulm Medical Center)
• Allina Health System (New Ulm Medical Center)
• Elizabeth R Anderson-Elias, PSYD
• Blane Ausen Anderson, CCC-A
• Brittany Lee Anderson
• Bryana Malner Andert, D.O.
• Karen Jean Appel, LICSW

• Addiction (Substance Use Disorder) Counselor in New Ulm, MN
• Providers in New Ulm, 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 1, 2018; 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.