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779 RIVERSIDE RECOVERY & COUNSELING SERVICES
NPI 1437636131
Counselor - Addiction (Substance Use Disorder) in Edina, MN

Active since July 25, 2018
4940 W 77TH ST, EDINA, MN 55435(612) 223-6622 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 779 Riverside Recovery & Counseling Services NPPES

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

779 RIVERSIDE RECOVERY & COUNSELING SERVICES (NPI 1437636131) is a healthcare organization registered as an addiction (substance use disorder) in Edina, Minnesota and active in the NPI registry since July 2018. The organization lists Coach Nakumbe, Owner / Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1437636131
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business Name779 RIVERSIDE RECOVERY & COUNSELING SERVICES
Location Address4940 W 77TH STEdina, MN 55435-4805
Mailing Address8014 Highway 55 Unit 197Golden Valley, MN 55427-4712 · (612) 223-6622
Phone(612) 223-6622
Organization SubpartNo
Authorized OfficialCoach NakumbeOwner / Clinical Director · (612) 223-6622
Enumeration DateJuly 25, 2018
✔ NPI 1437636131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 303344
Also ListedCounselorTaxonomy 101Y00000X · License 00935 (MN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 00935 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 00935 (MN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 00935 (MN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 00935 (MN)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 00935 (MN)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 00935 (MN)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 00935 (MN)
4940 W 77TH ST, Edina, MN 55435
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

UKNOWN NAKUMBE LPCC, LADC
Counselor (Mental Health)
4940 W 77TH ST
EDINA, MN 55435
Hennepin County (612) 284-2151

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 779 Riverside Recovery & Counseling Services's NPI number?

The NPI number for 779 Riverside Recovery & Counseling Services is 1437636131. It was assigned to this organization in the NPPES registry on July 25, 2018.

Where is 779 Riverside Recovery & Counseling Services located?

779 Riverside Recovery & Counseling Services is located at 4940 W 77th St, Edina, MN 55435. The listed phone number is (612) 223-6622.

What is 779 Riverside Recovery & Counseling Services'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 779 Riverside Recovery & Counseling Services was last updated on July 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.