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NPI 1164842605 · Rehabilitation Counselor · Eagan, MN
Provider details
- NPI number
- 1164842605
- Entity type
- Organization
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rich Frieder, Executive Director(651) 686-1066
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2874 Highway 55
Eagan, MN 55121-1438
Phone: (651) 686-1066
Fax: (651) 209-1820
Street-level locationGet directions
Mailing address
2874 Highway 55
Eagan, MN 55121-1438
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2014-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.