Organization provider

PROFESSIONAL RECOVERY ORGANIZATION LLC

Professional Counselor Addiction (Substance Use Disorder) Counselor Medicare enrolled

PROFESSIONAL RECOVERY ORGANIZATION LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639715402, based in Woodbury, MN. The organization lists 2 taxonomy classifications, with Professional Counselor recorded as primary.

Getting there

The practice address on file is 700 COMMERCE DR STE 245, Woodbury, MN 55125. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

700 COMMERCE DR STE 245, Woodbury, MN 55125 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0840635215
Enrollment ID
O20240226003105

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1639715402 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 26, 2019
Last updatedMar 19, 2024
StatusActive
Practice address 700 COMMERCE DR STE 245
Woodbury, MN 55125
(651) 204-9144
Fax (651) 364-7445
This record was updated on Mar 19, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1639715402 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 3 9 7 1 5 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 6 9 5 1 1 4 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1639715402?
NPI 1639715402 is the National Provider Identifier assigned to PROFESSIONAL RECOVERY ORGANIZATION LLC in Woodbury, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact PROFESSIONAL RECOVERY ORGANIZATION LLC?
The phone number on file with NPPES is (651) 204-9144, last updated Mar 19, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PROFESSIONAL RECOVERY ORGANIZATION LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1639715402 a valid number?
Yes. 1639715402 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.