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MS. MARY LARISSA GORMAN MA, LADC
NPI 1790078517
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since May 26, 2011
135 COLORADO ST E, SAINT PAUL, MN 55107(651) 489-7740(651) 489-6458 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Larissa Gorman Ma, Ladc NPPES

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

MS. MARY LARISSA GORMAN MA, LADC (NPI 1790078517) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (302977) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1790078517
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY LARISSA GORMANCredential: MA, LADC
Location Address135 COLORADO ST ESaint Paul, MN 55107-2244
Mailing Address135 Colorado St ESaint Paul, MN 55107-2244 · (651) 489-7740 · Fax (651) 489-6458
Phone(651) 489-7740
Fax(651) 489-6458
Sole ProprietorYes
Enumeration DateMay 26, 2011
✔ NPI 1790078517 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 · 302977
135 COLORADO ST E, Saint Paul, MN 55107
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Other Providers at the Same Location NPPES 9

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

MS. ANDREA SUSAN KOFOED LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-3353
MS. SEIKA NOGUCHI CHARPENTIER MA,LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
SHANNON D SWARTHOUT LADC
Substance Abuse Rehabilitation Facility
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2131
TAPESTRY
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 454-2323
KATHERINE LUTTRULL LPCC, LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2342
MS. LAURA POHLMAN B.A., LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2354
MS. TERRY ROSE KATUSKY LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
MS. CONNIE LOU BINGEL BOMBENGER LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 916-4878

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 Mary Gorman's NPI number?

The NPI number for Mary Gorman is 1790078517. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Mary Gorman located?

Mary Gorman practices at 135 Colorado St E, Saint Paul, MN 55107. The listed phone number is (651) 489-7740.

What is Mary Gorman'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 Mary Gorman was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.