779 RIVERSIDE RECOVERY & COUNSELING SERVICES – Addiction (Substance Use Disorder) Counselor, NPI 1437636131

779 RIVERSIDE RECOVERY & COUNSELING SERVICES is a healthcare provider. based in Golden valley, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. The organization holds a License No. 00935 (MN). The NPI Number for 779 RIVERSIDE RECOVERY & COUNSELING SERVICES is 1437636131

Main info

Organization
Name
779 RIVERSIDE RECOVERY & COUNSELING SERVICES
NPI
1437636131
Phone
(612) 223-6622
Address
8014 HIGHWAY 55 UNIT 197
Authorized Official
COACH NAKUMBE OWNER / CLINICAL DIRECTOR LPCC, LADC
Enumeration Date
25 July 2018
Last Update Date
25 July 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for 779 RIVERSIDE RECOVERY & COUNSELING SERVICES

  • 8014 HIGHWAY 55 UNIT 197

    GOLDEN VALLEY, MN 554274712

    Phone: (612) 223-6622

    Type: Mailing

  • The Reserve, 4940, West 77th Street, Pentagon Park, Cahill, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554354805

    Phone: (612) 223-6622

    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 55427)

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Reviews

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Frequently asked questions

How do payers reference 779 RIVERSIDE RECOVERY & COUNSELING SERVICES?
For 779 RIVERSIDE RECOVERY & COUNSELING SERVICES, use NPI 1437636131 as the unique 10-digit identifier.
Active or inactive — what applies to 779 RIVERSIDE RECOVERY & COUNSELING SERVICES?
You should see 779 RIVERSIDE RECOVERY & COUNSELING SERVICES as active in CMS-hosted NPPES data.
What kind of doctor is 779 RIVERSIDE RECOVERY & COUNSELING SERVICES?
779 RIVERSIDE RECOVERY & COUNSELING SERVICES is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with 779 RIVERSIDE RECOVERY & COUNSELING SERVICES?
Directory geography for 779 RIVERSIDE RECOVERY & COUNSELING SERVICES centers on Golden Valley, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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