LUKE J. KLEFSTAD (NPI# 1104837251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104837251 |
| Entity Type | Individual |
| Full Name | LUKE J. KLEFSTAD |
| Credential | LPCC |
| Practice Address |
1726 S Washington St Ste 33a Grand Forks ND 58201-6370 |
| Mailing Address |
1201 25th St S Fargo ND 58103-2311 |
| Practice Telephone | 7017464584 |
| Practice Fax Number | 6519250057 |
| Mailing Telephone | 7014514900 |
| Mailing Fax Number | 6519250057 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
428-9-1-99 | ND | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
428-9-1-99-237 | ND | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
428-9-1-99 | ND | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 428-9-1-99 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | FEDERAL TAX ID | 450226423 | 01 |
| Street Address |
1726 S WASHINGTON ST STE 33A |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877830 | Alexis Rae O'halloran | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2020-09-30 |
| 1215547351 | Kelsey Jean Monson | Marriage & Family Therapist | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2020-08-04 |
| 1760032379 | Kelby Broddie | Marriage & Family Therapist | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2019-09-16 |
| 1790330553 | Candice Bradi Holy | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2019-08-07 |
| 1386205581 | Peter Soverns | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2019-06-27 |
| 1225508344 | Ronette Jean Vandal | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2018-12-01 |
| 1073089355 | Shelby Hildenbrand | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2018-10-15 |
| 1659868362 | Deanna Lynne Jenkins | Social Worker | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2018-04-18 |
| 1740714161 | Alana Johnston | Social Worker | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2017-04-12 |
| 1134579139 | Jennifer Fetsch | Social Worker | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028100 | Heather Engblom | Counselor | 1012 15th Ave S, Grand Forks, ND 58201-5439 | 2020-06-23 |
| 1861927311 | Stephanie Kristjanson | Counselor | 264 Centennial Dr Stop 7144, Grand Forks, ND 58202-7144 | 2017-04-21 |
| 1033364013 | David Lee Scott | Counselor | 1165 S Columbia Rd Ste D, Grand Forks, ND 58201 | 2008-11-18 |
| 1821291527 | Douglas E Hiney Jr. | Counselor | 908 Boyd Dr, Grand Forks, ND 58203-2123 | 2007-06-08 |
| 1104882935 | Tiram Gamliel | Counselor | 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 | 2006-04-21 |
| 1548877830 | Alexis Rae O'halloran | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2020-09-30 |
| 1790330553 | Candice Bradi Holy | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2019-08-07 |
| 1386205581 | Peter Soverns | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2019-06-27 |
| 1225508344 | Ronette Jean Vandal | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2018-12-01 |
| 1073089355 | Shelby Hildenbrand | Counselor | 1726 S Washington St Ste 33a, Grand Forks, ND 58201-6395 | 2018-10-15 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on LUKE J. KLEFSTAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.