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EVERGREEN RECOVERY
NPI 1992152821
Clinic/Center - Rehabilitation, Substance Use Disorder in Saint Paul, MN

Active since May 20, 2016
1400 ENERGY PARK DR, SUITE 21, SAINT PAUL, MN 55108(651) 252-6070(651) 252-6071 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2020, May 20, 2016 (2 updates tracked since 2016).

About Evergreen Recovery NPPES

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

EVERGREEN RECOVERY (NPI 1992152821) is a healthcare organization registered as a rehabilitation, substance use disorder in Saint Paul, Minnesota and active in the NPI registry since May 2016. The organization lists David Backus, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992152821
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEVERGREEN RECOVERY
Location Address1400 ENERGY PARK DR, SUITE 21Saint Paul, MN 55108-5272
Mailing Address1400 Energy Park Dr, Suite 21Saint Paul, MN 55108-5272 · (651) 252-6070 · Fax (651) 252-6071
Phone(651) 252-6070
Fax(651) 252-6071
Organization SubpartNo
Authorized OfficialDavid BackusExecutive Director · (651) 252-6070
Enumeration DateMay 20, 2016
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1992152821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303683 (MN), 303672 (MN), 304003 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1204 (MN)
1400 ENERGY PARK DR, Saint Paul, MN 55108
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JORDAN FAVIA
Counselor
1400 ENERGY PARK DR
SAINT PAUL, MN 55108
Ramsey County (651) 252-6070
DAVID BACKUS
Counselor
1400 ENERGY PARK DR, SUITE 21
SAINT PAUL, MN 55108
Ramsey County (651) 252-6070
GRENDA NYAMOITA GILBERT LADC, PL-LPCC
Counselor (Mental Health)
1400 ENERGY PARK DR
SAINT PAUL, MN 55108
Ramsey County (952) 245-0859

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 Evergreen Recovery's NPI number?

The NPI number for Evergreen Recovery is 1992152821. It was assigned to this organization in the NPPES registry on May 20, 2016.

Where is Evergreen Recovery located?

Evergreen Recovery is located at 1400 Energy Park Dr Suite 21, Saint Paul, MN 55108. The listed phone number is (651) 252-6070.

What is Evergreen Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Evergreen Recovery was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.