GOETZ MENTAL WELLNESS INITIATIVE


Address: 3911 20th Ave S, Fargo, ND 58103-4705
Phone: 7012711613

GOETZ MENTAL WELLNESS INITIATIVE (NPI# 1316569767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316569767
Entity Type Organization
Organization Name GOETZ MENTAL WELLNESS INITIATIVE
Practice Address 3911 20th Ave S
Fargo
ND 58103-4705
Practice Telephone 7012711613
Enumeration Date 2020-05-08
Last Update Date 2020-05-08
Authorized Official Name ERIC MONSON (INTERIM CEO)
Authorized Official Telephone 7012357341
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Imagine Thriving Doing Business As Name - Organization

Office Location

Street Address 3911 20TH AVE S
City FARGO
State ND
Zip Code 58103-4705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811083173 Glenda G Trochmann Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2006-10-05
1871190793 Toby Farrenkopf Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-10-04
1285231241 Amy Brooks Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-10-02
1942807904 Carmel Froemke Case Manager/Care Coordinator 3911 20th Ave S, Fargo, ND 58103-4705 2020-10-02
1336754993 Heidi Frances Dahmes Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-09-10
1710509914 Amanda Cossette Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-05-11
1346861432 Kelsey Moorhouse Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-04-30
1982225074 Hayley Jangula Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-04-30
1073134227 Rebekah Noel Jensen Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-04-29
1710508981 Amy Messner Social Worker 3911 20th Ave S, Fargo, ND 58103-4705 2020-04-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609492016 Igniting Your Change Clinic/Center 1222 4th Ave N Apt 318, Fargo, ND 58102-4374 2020-06-22
1912551797 Helm Therapy Services, LLC Clinic/Center 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 2019-07-30
1184278004 Dr. Kayla Moorer, Psychologist, LLC Clinic/Center 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 2019-07-29
1235799842 Solace Counseling Pllc Clinic/Center 1321 23rd St S Ste D, Fargo, ND 58103-3724 2019-06-17
1336702687 Altendorf Counseling Clinic/Center 1351 Page Dr S Ste 100, Fargo, ND 58103-3536 2019-04-22
1790254191 Clarion Counseling & Consulting, LLC Clinic/Center 417 Main Ave Ste 302, Fargo, ND 58103-1956 2018-11-15
1609362888 Hansen Hearts Counseling, Pllc Clinic/Center 3309 Fiechtner Dr S Ste H, Fargo, ND 58103-2375 2018-07-10
1659807949 Insight Behavioral Health Partners Clinic/Center 4357 13th Ave S Ste 104, Fargo, ND 58103-3381 2017-05-04
1225459027 Lutheran Social Services of Nd Clinic/Center 3911 20th Ave S, Fargo, ND 58107 2013-12-20
1053623926 Attentive Mind Corporation Clinic/Center 2902 University Dr S, Fargo, ND 58103-6053 2010-07-08
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Competitor

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City FARGO
Zip Code 58103

Improve Information

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Dataset Information

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.

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