Avalon - Prospect Park – Addiction (Substance Use Disorder) Counselor, NPI 1104950591

Addiction (Substance Use Disorder) Counselor

Avalon - Prospect Park is a healthcare provider. based in New brighton, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. The organization holds a License No. 1016848-4-CDT (MN). The NPI Number for Avalon - Prospect Park is 1104950591

Main info

Organization

Name

Avalon - Prospect Park

NPI

1104950591

Phone

(612) 326-7600

Address

550 MAIN ST

Authorized Official

PAUL LINDEMAN DIRECTOR - REVENUE CYCLE MGMT

Enumeration Date

15 March 2007

Last Update Date

10 December 2008

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness80

Years active:19State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Avalon - Prospect Park

550 MAIN ST
STE 230
NEW BRIGHTON, MN 55112
Phone: (612) 326-7600
Fax: (651) 631-3231
Type: Mailing
2800 UNIVERSITY AVE SE
SUITE 202
MINNEAPOLIS, MN 55414
Phone: (612) 638-2282
Fax: (612) 326-7642
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55112)

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Reviews

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Frequently asked questions

What identifier follows Avalon - Prospect Park across health systems?

The NPI 1104950591 uniquely identifies Avalon - Prospect Park in U.S. healthcare data.

Should I treat Avalon - Prospect Park as an active provider?

Patients and plans typically see Avalon - Prospect Park as active in the national extract.

What type of care does Avalon - Prospect Park provide?

Avalon - Prospect Park's profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.

Which community is linked to Avalon - Prospect Park?

Avalon - Prospect Park shows a connection to New Brighton, Minnesota in registry-derived data.

Why is information missing for Avalon - Prospect Park?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.