Paige Jillian Decker
Counselor, Addiction (Substance Use Disorder) in Crookston, MN. Individual provider (NPI-1).
NPI number1104720747
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1104720747
- Entity type
- Individual (NPI-1)
- Name
- Paige Jillian Decker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2026
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 307786 | MN | Yes |
Practice location
603 Bruce StCrookston, MN 56716-2914
Phone 218-281-3940
Mailing address
603 Bruce StCrookston, MN 56716-2914
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Addiction (Substance Use Disorder) Counselor providers in Crookston · All 318 providers in Crookston
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