JAC CLINGERMAN LADC
NPI 1821731258
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since April 14, 2022
2104 STEVENS AVE, MINNEAPOLIS, MN 55404(651) 964-3683 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jac Clingerman Ladc NPPES

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

JAC CLINGERMAN LADC (NPI 1821731258) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1821731258
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAC CLINGERMANCredential: LADC
Location Address2104 STEVENS AVEMinneapolis, MN 55404-2533
Mailing Address1305 Madison St Apt 318Saint Paul, MN 55116-3319 · (651) 964-3692
Sole ProprietorYes
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1821731258 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
2104 STEVENS AVE, Minneapolis, MN 55404

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
2104 STEVENS AVE
MINNEAPOLIS, MN 55404
Social Worker (Clinical)
2104 STEVENS AVE
MINNEAPOLIS, MN 55404
Registered Nurse (Addiction (Substance Use Disorder))
2104 STEVENS AVE
MINNEAPOLIS, MN 55404
Counselor (Addiction (Substance Use Disorder))
2104 STEVENS AVE
MINNEAPOLIS, MN 55404
Counselor (Addiction (Substance Use Disorder))
2104 STEVENS AVE
MINNEAPOLIS, MN 55404

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 Jac Clingerman's NPI number?

The NPI number for Jac Clingerman is 1821731258. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Jac Clingerman located?

Jac Clingerman practices at 2104 Stevens Ave, Minneapolis, MN 55404. The listed phone number is (651) 964-3683.

What is Jac Clingerman'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 Jac Clingerman was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.