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779 Riverside Recovery & Counseling Services

Addiction (Substance Use Disorder) Counselor in Edina, MN · enumerated 2018 · authorized official Coach Nakumbe, Owner / Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437636131

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Registry record

Entity type Organization (Type 2)
Legal business name 779 Riverside Recovery & Counseling Services
Practice address 4940 W 77th St, Edina, MN, 55435
Phone (612) 223-6622
Enumeration date Jul 25, 2018
Last updated in NPPES Jul 25, 2018

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 303344 (MN) Primary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers · License 00935 (MN) Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 00935 (MN) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License 00935 (MN) Secondary

Authorized official

Name Coach Nakumbe
Title Owner / Clinical Director
Phone (612) 223-6622

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-07-25. Verify at npiregistry.cms.hhs.gov.
Where is 779 Riverside Recovery & Counseling Services located?
The practice location on file with NPPES is in Edina, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-25.