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NPI 1336212653ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Minneapolis, MN
Counselor, Addiction (Substance Use Disorder) in Minneapolis, Minnesota, registered in NPPES in November 2006. The authorized official on file is Scott Edward Holtzleicer, LADC, Executive Director.
Overview
| NPI | 1336212653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Jan 31, 2022 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 800287 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 800579 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 802470 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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