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JACK RIVALL
NPI 1326688284
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since January 08, 2020
287 6TH ST E STE 300, SAINT PAUL, MN 55101(651) 221-0334 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Rivall NPPES

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

JACK RIVALL (NPI 1326688284) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (304229) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1326688284
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK RIVALL
Location Address287 6TH ST E STE 300Saint Paul, MN 55101-1690
Mailing Address287 6th St E Ste 300Saint Paul, MN 55101-1690 · (651) 221-0334
Phone(651) 221-0334
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
✔ NPI 1326688284 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 · 304229
287 6TH ST E STE 300, Saint Paul, MN 55101
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Other Providers at the Same Location NPPES 5

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

TANYA MARIE GRANGRUTH ADC-T
Counselor (Addiction (Substance Use Disorder))
287 6TH ST E STE 300
SAINT PAUL, MN 55101
Ramsey County (651) 221-0334
PAMELA C ALDERINK
Counselor (Addiction (Substance Use Disorder))
287 6TH ST E STE 300
SAINT PAUL, MN 55101
Ramsey County (651) 221-0334
MS. RHONDA SMIEJA LADC
Counselor (Addiction (Substance Use Disorder))
287 6TH ST E STE 300
SAINT PAUL, MN 55101
Ramsey County (651) 221-0334
BRYAN FISH LADC
Counselor (Addiction (Substance Use Disorder))
287 6TH ST E STE 300
SAINT PAUL, MN 55101
Ramsey County (651) 221-0334
PAUL O KAZEEM LADC
Counselor (Addiction (Substance Use Disorder))
287 6TH ST E STE 300
SAINT PAUL, MN 55101
Ramsey County (651) 221-0334

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 Jack Rivall's NPI number?

The NPI number for Jack Rivall is 1326688284. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Jack Rivall located?

Jack Rivall practices at 287 6th St E Ste 300, Saint Paul, MN 55101. The listed phone number is (651) 221-0334.

What is Jack Rivall'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 Jack Rivall was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.