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MR. CLAYTON THADDEUS RUDOLF PHILLIPS LADC
NPI 1093650988
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since April 20, 2026
680 STEWART AVE, SAINT PAUL, MN 55102(763) 957-7677 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clayton Thaddeus Rudolf Phillips Ladc NPPES

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

MR. CLAYTON THADDEUS RUDOLF PHILLIPS LADC (NPI 1093650988) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (306742) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1093650988
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CLAYTON THADDEUS RUDOLF PHILLIPSCredential: LADC
Location Address680 STEWART AVESaint Paul, MN 55102-4117
Mailing Address680 Stewart AveSaint Paul, MN 55102-4117 · (763) 957-7677
Phone(763) 957-7677
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1093650988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 306742
680 STEWART AVE, Saint Paul, MN 55102
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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.

STEPHANIE ANN JOHNSON MA, LPCC
Counselor (Professional)
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 292-2430
HAZELDEN BETTY FORD FOUNDATION
Substance Abuse Rehabilitation Facility
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 292-2477
MATTHEW MCCUNE LADC
Student in an Organized Health Care Education/Training Program
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (612) 292-2422
RECOVERY PARTNERS, PC AT ST PAUL
Psychologist (Addiction (Substance Use Disorder))
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 213-4286
CODY ADAMS
Counselor (Mental Health)
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 292-2416
ERIC STEPHEN MANN M.A. LADC
Counselor (Addiction (Substance Use Disorder))
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (320) 333-2550
MRS. KRISTA ANN MILBRANDT R.N.
Registered Nurse (General Practice)
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 292-2499
ASHLEY RENAE POLLARD LPCC
Counselor
680 STEWART AVE
SAINT PAUL, MN 55102
Ramsey County (651) 292-2404

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 Clayton Phillips's NPI number?

The NPI number for Clayton Phillips is 1093650988. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Clayton Phillips located?

Clayton Phillips practices at 680 Stewart Ave, Saint Paul, MN 55102. The listed phone number is (763) 957-7677.

What is Clayton Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clayton Phillips was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.