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CLUB RECOVERY
NPI 1023032703
Clinic/Center - Rehabilitation, Substance Use Disorder in Edina, MN

Active since July 27, 2006CLIA 24D2037418 · Waiver
6550 YORK AVE S, SUITE 620, EDINA, MN 55435(952) 926-2526(952) 926-6791 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Club Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLUB RECOVERY (NPI 1023032703) is a healthcare organization registered as a rehabilitation, substance use disorder in Edina, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Orrin R. Tietz, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1023032703
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCLUB RECOVERY LLC
Location Address6550 YORK AVE S, SUITE 620Edina, MN 55435-2347
Mailing Address6550 York Ave S, Suite 620Edina, MN 55435-2347 · (952) 926-2526 · Fax (952) 926-6791
Phone(952) 926-2526
Fax(952) 926-6791
Organization SubpartNo
Authorized OfficialOrrin R. TietzAdministrative Director · (952) 926-2526
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023032703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MN · 10043993CDT
6550 YORK AVE S, Edina, MN 55435
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Other Names 1

Doing Business AsClub Recovery

Other Identifiers 10

Other4D24CLMN · Blue Cross Blue Shield
Other8448321MN · United Behavioral Health
Other8448322MN · United Behavioral Health
Other164215MN · Ucare Of Mn
Other8468358MN · United Behavioral Health
Other8447177MN · United Behavioral Health
Other8448323MN · United Behavioral Health
Other97283MN · Health Partners
Other8448324MN · United Behavioral Health
Other8447176MN · United Behavioral Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2037418

Club Recovery LLC · Edina, MN
Active · expires Feb 26, 2028
CLIA Number24D2037418
Laboratory TypeOutpatient Substance Abus
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorMary Everson
Laboratory Phone(952) 926-2526
Laboratory LocationClub Recovery LLC7701 York Ave S Suite 350, Edina, MN 55435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TODD ADRIAN LUNDA MS
Audiologist
6550 YORK AVE S, SUITE 305
EDINA, MN 55435
Hennepin County (952) 285-1419
DISCOVER CHIROPRACTIC CENTER, P.C.
Clinic/Center
6550 YORK AVE S, STE 216
EDINA, MN 55435
Hennepin County (952) 746-7533
DR. GREGORY SCOTT ALCH
Psychologist
6550 YORK AVE S, SUITE 207
EDINA, MN 55435
Hennepin County (952) 926-6929
DR. JILL MARGARET DULAC D.D.S.
Dentist (General Practice)
6550 YORK AVE S, #202
EDINA, MN 55435
Hennepin County (952) 925-2176
MARY LOU CASKEY LMFT
Psychologist
6550 YORK AVE S, SUITE 503
EDINA, MN 55435
Hennepin County (952) 929-3103
MIDWAY COUNSELING, LLC
Counselor (Mental Health)
6550 YORK AVE S, SUITE 410
EDINA, MN 55435
Hennepin County (612) 656-9394
SPINAL MOTION CHIROPRACTIC PLLC
Chiropractor
6550 YORK AVE S, SUITE 515
EDINA, MN 55435
Hennepin County (651) 230-5355
TODD LOECHLER PT
Physical Therapist
6550 YORK AVE S, SUITE 520
EDINA, MN 55435
Hennepin County (952) 924-0199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Club Recovery LLC's NPI number?

The NPI number for Club Recovery LLC is 1023032703. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Club Recovery.

Where is Club Recovery LLC located?

Club Recovery LLC is located at 6550 York Ave S Suite 620, Edina, MN 55435. The listed phone number is (952) 926-2526.

What is Club Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Club Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2037418) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Club Recovery LLC accept?

Health plans from HealthPartners list Club Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Club Recovery LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.