JODIE M EVENSON LADC
NPI 1275243552
Counselor - Addiction (Substance Use Disorder) in Mora, MN

Active since November 28, 2022
206 MAPLE AVE E, MORA, MN 55051(320) 209-1941 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodie M Evenson Ladc NPPES

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

JODIE M EVENSON LADC (NPI 1275243552) is an individual addiction (substance use disorder) provider in Mora, Minnesota, licensed in Minnesota (306374) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1275243552
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJODIE M EVENSONCredential: LADC
Location Address206 MAPLE AVE EMora, MN 55051-1311
Mailing Address665 5th Ave NwPine City, MN 55063-1020 · (320) 209-1941
Sole ProprietorNo
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
NPI 1275243552 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 · 306374
206 MAPLE AVE E, Mora, MN 55051

Other Names 1

Former Name (1)Jodie M Billstrom

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
206 MAPLE AVE E
MORA, MN 55051
Substance Abuse Rehabilitation Facility
206 MAPLE AVE E
MORA, MN 55051
Counselor (Addiction (Substance Use Disorder))
206 MAPLE AVE E
MORA, MN 55051

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 Jodie Evenson's NPI number?

The NPI number for Jodie Evenson is 1275243552. It was assigned to this individual provider in the NPPES registry on November 28, 2022. The provider is also known as Jodie M Billstrom.

Where is Jodie Evenson located?

Jodie Evenson practices at 206 Maple Ave E, Mora, MN 55051. The listed phone number is (320) 209-1941.

What is Jodie Evenson'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 Jodie Evenson was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.