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MR. MICHAEL WILLIAM MAHONEY LADC, NCAC1
NPI 1659799500
Counselor - Addiction (Substance Use Disorder) in Rochester, MN

Active since March 28, 2014
1530 ASSISI DR NW, ROCHESTER, MN 55901(507) 218-3450(855) 856-5734 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael William Mahoney Ladc, Ncac1 NPPES

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

MR. MICHAEL WILLIAM MAHONEY LADC, NCAC1 (NPI 1659799500) is an individual addiction (substance use disorder) provider in Rochester, Minnesota, licensed in Minnesota (301050) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1659799500
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL WILLIAM MAHONEYCredential: LADC, NCAC1
Location Address1530 ASSISI DR NWRochester, MN 55901-1637
Mailing Address1530 Assisi Dr NwRochester, MN 55901-1637 · (507) 218-3450 · Fax (855) 856-5734
Phone(507) 218-3450
Fax(855) 856-5734
Sole ProprietorNo
Enumeration DateMarch 28, 2014
✔ NPI 1659799500 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 · 301050
1530 ASSISI DR NW, Rochester, MN 55901
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Other Providers at the Same Location NPPES 8

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

JESSICA JANE SORGENFRIE-WACHOLZ M.S., LADC, LPCC
Counselor (Professional)
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 218-3462
MINNESOTA TEEN CHALLENGE, INC.
Substance Abuse Rehabilitation Facility
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 288-3733
MRS. CRISTA RENAUX MARTINEZ LICSW
Social Worker (Clinical)
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 218-3466
SAMARITAN BETHANY INC
Skilled Nursing Facility
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-5042
JOY KUBINSKI LADC
Counselor (Addiction (Substance Use Disorder))
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 218-3461
CARL WHITE
Counselor (Professional)
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 288-3733
KENTON NEU LADC, BCC
Counselor (Addiction (Substance Use Disorder))
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (507) 218-3459
MS. DIANN IRENE RENAAS LPCC
Counselor (Professional)
1530 ASSISI DR NW
ROCHESTER, MN 55901
Olmsted County (612) 333-3366

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 Michael Mahoney's NPI number?

The NPI number for Michael Mahoney is 1659799500. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Michael Mahoney located?

Michael Mahoney practices at 1530 Assisi Dr NW, Rochester, MN 55901. The listed phone number is (507) 218-3450.

What is Michael Mahoney'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 Michael Mahoney was last updated on March 28, 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.