MR. ERIC THOMAS CLEMENSEN BS, LADC, BCC
NPI 1366708109
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since April 05, 2012
1609 JACKSON ST, SAINT PAUL, MN 55117(612) 326-7614(651) 488-5658 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Eric Thomas Clemensen Bs, Ladc, Bcc NPPES

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

MR. ERIC THOMAS CLEMENSEN BS, LADC, BCC (NPI 1366708109) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (303592) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1366708109
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ERIC THOMAS CLEMENSENCredential: BS, LADC, BCC
Location Address1609 JACKSON STSaint Paul, MN 55117-3917
Mailing Address1609 Jackson StSaint Paul, MN 55117-3917 · (612) 326-7614 · Fax (651) 488-5658
Fax(651) 488-5658
Sole ProprietorNo
Enumeration DateApril 5, 2012
Last NPPES UpdateJuly 10, 2014
NPI 1366708109 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 · 303592
1609 JACKSON ST, Saint Paul, MN 55117

Other Providers at the Same Location NPPES 2

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

Substance Abuse Rehabilitation Facility
1609 JACKSON ST
SAINT PAUL, MN 55117
Substance Abuse Rehabilitation Facility
1609 JACKSON ST
SAINT PAUL, MN 55117

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 Eric Clemensen's NPI number?

The NPI number for Eric Clemensen is 1366708109. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Eric Clemensen located?

Eric Clemensen practices at 1609 Jackson St, Saint Paul, MN 55117. The listed phone number is (612) 326-7614.

What is Eric Clemensen'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 Eric Clemensen was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.