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

NPI Status: Active since May 20, 2016

Contact Information

1400 ENERGY PARK DR
SUITE 21
SAINT PAUL, MN
ZIP 55108
Phone: (651) 252-6070
Fax: (651) 252-6071

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About EVERGREEN RECOVERY

This page provides the complete NPI Profile along with additional information for Evergreen Recovery, a provider established in Saint Paul, Minnesota operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1992152821 assigned on May 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Evergreen Recovery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David Backus (Executive Director)

NPI
1992152821
Provider Name
EVERGREEN RECOVERY
Entity Type
Organization
Location Address
1400 ENERGY PARK DR SUITE 21 SAINT PAUL, MN 55108
Location Phone
(651) 252-6070
Location Fax
(651) 252-6071
Mailing Address
1400 ENERGY PARK DR SUITE 21 SAINT PAUL, MN 55108
Mailing Phone
(651) 252-6070
Mailing Fax
(651) 252-6071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2016
Last Update Date
03-11-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

303683 (MN)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

303672 (MN)
3101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

304003 (MN)
4101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

1204 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BACKUS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(651) 252-6070

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992152821, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 2 + 5 + 4 + 8 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1992152821.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor
1400 ENERGY PARK DR
SAINT PAUL, MN 55108
Counselor
1400 ENERGY PARK DR, SUITE 21
SAINT PAUL, MN 55108
Counselor (Mental Health)
1400 ENERGY PARK DR
SAINT PAUL, MN 55108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992152821, enumerated as an "organization" on May 20, 2016.

The provider is located at 1400 ENERGY PARK DR SUITE 21 SAINT PAUL, MN 55108 and the phone number is (651) 252-6070.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.