MS. ANDREA OTTERNESS LADC
NPI 1831562305
Counselor - Addiction (Substance Use Disorder) in Forest Lake, MN

Q: What is Andrea Otterness's NPI number?

The NPI number for Andrea Otterness is 1831562305. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Q: What is Andrea Otterness's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Otterness was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 05, 2015

555 W BROADWAY AVE STE 1AND2, FOREST LAKE, MN 55025(651) 777-5222(651) 251-5279 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Andrea Otterness Ladc NPPES

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

MS. ANDREA OTTERNESS LADC (NPI 1831562305) is an individual addiction (substance use disorder) provider in Forest Lake, Minnesota, licensed in Minnesota (302520) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1831562305

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. ANDREA OTTERNESSCredential: LADC

Location Address555 W BROADWAY AVE STE 1AND2Forest Lake, MN 55025-1175

Mailing Address555 West Broadway Ave Suite 2Forest Lake, MN 55025 · (651) 777-5222 · Fax (651) 251-5279

Phone(651) 777-5222

Fax(651) 251-5279

Sole ProprietorNo

Enumeration DateNovember 5, 2015

✔ NPI 1831562305 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 · 302520

555 W BROADWAY AVE STE 1AND2, Forest Lake, MN 55025

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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 Andrea Otterness's NPI number?

The NPI number for Andrea Otterness is 1831562305. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Andrea Otterness located?

Andrea Otterness practices at 555 W Broadway Ave Ste 1and2, Forest Lake, MN 55025. The listed phone number is (651) 777-5222.

What is Andrea Otterness'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 Andrea Otterness was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.