OrganizationActive
Avalon Programs, LLC
NPI 1104950591 · Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
Provider details
- NPI number
- 1104950591
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paul Lindeman, Director - Revenue Cycle Mgmt(612) 326-7566
- License
- 1016848-4-CDT (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2800 University Ave Se
Suite 202
Minneapolis, MN 55414
Phone: (612) 638-2282
Fax: (612) 326-7642
Street-level locationGet directions
Mailing address
550 Main St
New Brighton, MN 55112
Other names (DBA / former)
- Doing business as
- Avalon - Prospect Park
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2008-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.