Jeffry Milton Christenson, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303380 Issued in MN

Practice address

217 N Union Ave
Fergus Falls, MN 56537-2127

Phone

(218) 739-9084

Fax

(218) 739-0518

NPI assigned

Dec 12, 2017

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Lake Region Halfway Homes, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fergus Falls, MN
  • NPI 1851455323
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982119954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N UNION AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372127",
            "telephone_number": "218-739-9084",
            "fax_number": "218-739-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N UNION AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372127",
            "telephone_number": "218-739-9084",
            "fax_number": "218-739-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 N Union Ave",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565372127",
            "country_code": "US",
            "telephone_number": "218-739-9084",
            "fax_number": "218-739-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "JEFFRY",
        "middle_name": "MILTON",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Carr-Johnson
• Catholic Charities of the Diocese of St. Cloud
• Curtis Lee Cavalier, RN
• C Brook Chace, MA
• Jolene Michelle Chapman, LPN
• Jodie Ann Christiansen, RN
• Eric Christianson, PHARM.D.
• Margo Christopher
• Christy Lynn Mark
• Joanna Chua, MPH

• Addiction (Substance Use Disorder) Counselor in Fergus Falls, MN
• Providers in Fergus Falls, 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 Mar 17, 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.