Reace Rainwater, LADC
Counselor, Addiction (Substance Use Disorder) in Mankato, MN. Individual provider (NPI-1).
NPI number1154075372
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1154075372
- Entity type
- Individual (NPI-1)
- Name
- Reace Rainwater
- Credential
- LADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
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) | 305203 | MN | Yes |
Practice location
802 S Front StMankato, MN 56001-2401
Phone 507-295-4940
Mailing address
1019 S Broadway StNew Ulm, MN 56073-3410
Phone 507-766-9599
Other practice locations
1404 Central Ave Ne
Minneapolis, MN 55413-1517
Minneapolis, MN 55413-1517
Phone 612-789-8030
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 45 Addiction (Substance Use Disorder) Counselor providers in Mankato · All 2,445 providers in Mankato
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