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MN PREVENTION & RECOVERY ALLIANCE, LLC
NPI 1992435952
Peer Specialist in Minneapolis, MN

Active since June 13, 2022
1619 PORTLAND AVE, MINNEAPOLIS, MN 55404(612) 440-3967 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mn Prevention & Recovery Alliance, Llc NPPES

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

MN PREVENTION & RECOVERY ALLIANCE, LLC (NPI 1992435952) is a healthcare organization registered as a peer specialist in Minneapolis, Minnesota and active in the NPI registry since June 2022. The organization lists Tracee Anderson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992435952
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameMN PREVENTION & RECOVERY ALLIANCE, LLC
Location Address1619 PORTLAND AVEMinneapolis, MN 55404-1507
Mailing Address1619 Portland AveMinneapolis, MN 55404-1507 · (612) 440-3967
Phone(612) 440-3967
Organization SubpartNo
Authorized OfficialTracee AndersonExecutive Director · (612) 440-3967
Enumeration DateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1992435952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1619 PORTLAND AVE, Minneapolis, MN 55404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. TRACY RONNING LMFT
Marriage & Family Therapist
1619 PORTLAND AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 373-3366
ROBB PAPAS
Counselor (Professional)
1619 PORTLAND AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 238-6357
MARY J STADLER MA, LPCC, LADC
Counselor (Professional)
1619 PORTLAND AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 238-6536
DOROTHEE MARIE MORIN MA, LADC, LPCC
Counselor (Professional)
1619 PORTLAND AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 373-3366

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 Mn Prevention & Recovery Alliance, LLC's NPI number?

The NPI number for Mn Prevention & Recovery Alliance, LLC is 1992435952. It was assigned to this organization in the NPPES registry on June 13, 2022.

Where is Mn Prevention & Recovery Alliance, LLC located?

Mn Prevention & Recovery Alliance, LLC is located at 1619 Portland Ave, Minneapolis, MN 55404. The listed phone number is (612) 440-3967.

What is Mn Prevention & Recovery Alliance, LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mn Prevention & Recovery Alliance, LLC was last updated on June 13, 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.