Jack Rivall, - Counselor in Saint Paul, MN

Jack Rivall, is a Counselor - Addiction (substance Use Disorder) based in Saint Paul, Minnesota. Jack Rivall is licensed to practice in Minnesota (license number 304229) and his current practice location is 287 6th St E Ste 300, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 221-0334.

NPI number for Jack Rivall is 1326688284 and his current mailing address is 287 6th St E Ste 300, Saint Paul, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326688284.

Contact Information

Jack Rivall,
287 6th St E Ste 300,
Saint Paul, MN 55101-1690
(651) 221-0334
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJack Rivall
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location287 6th St E Ste 300, Saint Paul, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326688284
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 01/08/2020

Medical Identifiers

Medical identifiers for Jack Rivall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326688284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 304229 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Rivall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Rivall,
287 6th St E Ste 300,
Saint Paul, MN 55101-1690

Ph: (651) 221-0334
Jack Rivall,
287 6th St E Ste 300,
Saint Paul, MN 55101-1690

Ph: (651) 221-0334

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