MICHAEL JOHN MADER LADC NPI 1972100675

NPI Information

  • NPI: 1972100675
  • Provider Name: MICHAEL JOHN MADER, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 375 ORLEANS ST E
    STILLWATER, MN
    ZIP 55082
  • Phone: (612) 368-5713

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NPI Details

Michael John Mader, LADC is an addiction (substance use disorder) counselor in Stillwater, MN. Michael John Mader, LADC NPI is 1972100675. 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:

375 ORLEANS ST E
STILLWATER, MN
ZIP 55082-830
Phone: (612) 368-5713

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

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)305816MINNESOTAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)No

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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