AMETHYST COUNSELING SERVICES INC. NPI 1629117452

NPI Information

NPI: 1629117452
Provider Name: AMETHYST COUNSELING SERVICES, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 633-4532
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AMETHYST COUNSELING SERVICES, INC. is a substance abuse rehabilitation facility in New Brighton, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AMETHYST COUNSELING SERVICES, INC. NPI is 1629117452. The provider is registered as an organization entity type.

The provider's business location address is:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112-301
Phone: (651) 633-4532
Fax: (651) 633-9311

The provider's authorized official is Tammy Jon Johnson .
The authorized official title is Program Cooridanator and has the following contact phone number (651) 633-4532.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		820357100	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	820357100	MEDICAID	MINNESOTA
2	101961	OTHER	MINNESOTA	UCARE
3	4269AM	OTHER	MINNESOTA	BLUE CROSS
4	97081	OTHER	MINNESOTA	PREFERREDONE
5	8460134	OTHER	MINNESOTA	UBH
6	8460135	OTHER	MINNESOTA	UBH
7	18676	OTHER	MINNESOTA	HEALTHPARTNERS
8	8443304	OTHER	MINNESOTA	UBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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