OrganizationActive
Addiction Counseling Treatment Services
NPI 1376633743 · Addiction (Substance Use Disorder) Counselor · Gaylord, MN
Provider details
- NPI number
- 1376633743
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Ruesgen, Director(507) 237-2716
- License
- 10422051CDT (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 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
112 5th St.
Gaylord, MN 55334
Phone: (507) 238-2716
Fax: (507) 237-2736
Street-level locationGet directions
Mailing address
112 5th St.
Gaylord, MN 55334
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.