JILL LINDHOLM LADC NPI 1063892511

NPI Information

  • NPI: 1063892511
  • Provider Name: JILL LINDHOLM, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 403 4TH ST NW STE 300
    BEMIDJI, MN
    ZIP 56601
  • Phone: (218) 444-5155

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NPI Details

Jill Lindholm, LADC is an addiction (substance use disorder) counselor in Bemidji, MN. Jill Lindholm, LADC NPI is 1063892511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

403 4TH ST NW STE 300
BEMIDJI, MN
ZIP 56601-196
Phone: (218) 444-5155
Fax: (218) 333-3921

The enumeration date for this NPI number is 5/30/2015 and was last updated on 1/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)302430MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11063892511MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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