JACK RIVALL NPI 1326688284

NPI Information

  • NPI: 1326688284
  • Provider Name: JACK RIVALL
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 287 6TH ST E STE 300
    SAINT PAUL, MN
    ZIP 55101
  • Phone: (651) 221-0334

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NPI Details

Jack Rivall is an addiction (substance use disorder) counselor in Saint Paul, MN. Jack Rivall NPI is 1326688284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

287 6TH ST E STE 300
SAINT PAUL, MN
ZIP 55101-690
Phone: (651) 221-0334

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.

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)304229MINNESOTAYes

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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