Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Recovery

Organization Addiction (Substance Use Disorder) Counselor · NPI 1992152821

Evergreen Recovery is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
Specialties on file
5
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Practice location Address checks out

1400 Energy Park Dr Ste 21
Saint Paul, MN 55108-5272
Phone: (651) 252-6070
Fax: (651) 252-6071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303683 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303672 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304003 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 1204 (MN)

Record details

NPI number1992152821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Backus — Executive Director · (651) 252-6070
NPI enumeratedMay 20, 2016
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address1400 Energy Park Dr, Suite 21, Saint Paul, MN 55108-5272

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