RANDY SMITH LADC
NPI 1255986998
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since August 08, 2019
2314 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411(763) 478-1418 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Randy Smith Ladc NPPES

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

RANDY SMITH LADC (NPI 1255986998) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (302210) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1255986998
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY SMITHCredential: LADC
Location Address2314 PLYMOUTH AVE NMinneapolis, MN 55411-3636
Mailing Address11990 Jonquil St NwCoon Rapids, MN 55433-1797 · (763) 478-1418
Sole ProprietorYes
Enumeration DateAugust 8, 2019
NPI 1255986998 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 · 302210
2314 PLYMOUTH AVE N, Minneapolis, MN 55411

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
2314 PLYMOUTH AVE N
MINNEAPOLIS, MN 55411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255986998, enumerated as an "individual" on August 08, 2019.

The provider is located at 2314 PLYMOUTH AVE N MINNEAPOLIS, MN 55411 and the phone number is (763) 478-1418.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.