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REBECCA SUE PAULON LADC
NPI 1821710740
Counselor - Addiction (Substance Use Disorder) in North Branch, MN

Active since September 16, 2022PECOS Enrolled
6448 MAIN STREET, SUITES 1 AND 3, NORTH BRANCH, MN 55056(651) 775-9804(844) 364-7181 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Sue Paulon Ladc NPPES

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

REBECCA SUE PAULON LADC (NPI 1821710740) is an individual addiction (substance use disorder) provider in North Branch, Minnesota, licensed in Minnesota (303412) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821710740
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameREBECCA SUE PAULONCredential: LADC
Location Address6448 MAIN STREET, SUITES 1 AND 3North Branch, MN 55056
Mailing AddressPo Box 547North Branch, MN 55056-0547 · (651) 775-9804 · Fax (844) 364-7181
Phone(651) 775-9804
Fax(844) 364-7181
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1821710740 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 · 303412
6448 MAIN STREET, North Branch, MN 55056
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Sue Paulon Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890277008
PECOS Enrollment IDI20260306000367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Rebecca Paulon's NPI number?

The NPI number for Rebecca Paulon is 1821710740. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Rebecca Paulon located?

Rebecca Paulon practices at 6448 Main Street Suites 1 And 3, North Branch, MN 55056. The listed phone number is (651) 775-9804.

What is Rebecca Paulon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Rebecca Paulon enrolled in Medicare?

Yes. Rebecca Paulon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Paulon was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.