VILLAGE FAMILY SERVICE CENTER (NPI# 1548430614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548430614 |
| Entity Type | Organization |
| Organization Name | VILLAGE FAMILY SERVICE CENTER |
| Practice Address |
1201 25th St S Fargo ND 58103-2311 |
| Practice Telephone | 7014514900 |
| Practice Fax Number | 7014514891 |
| Mailing Telephone | 7014514900 |
| Mailing Fax Number | 7014514891 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | CANDACE HAUGEN (VP OF HUMAN RESOURCES) |
| Authorized Official Telephone | 7014514900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1142 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 454484600 | 05 | |
| ND | 54631 | 05 | |
| ND | 57527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568492353 | Village Family Service Center | Counselor | 1201 25th St S, Fargo, ND 58106-9859 | 2006-07-04 |
| 1952679318 | Village Family Service Center | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2011-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VILLAGE FAMILY SERVICE CENTER, THE | 1201 25th St S, Fargo, ND 58103-2311 |
| Street Address |
1201 25TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568492353 | Village Family Service Center | Counselor | 1201 25th St S, Fargo, ND 58106-9859 | 2006-07-04 |
| 1083226377 | Laura Bohan | Social Worker | 1201 25th St S, Fargo, ND 58103-2311 | 2020-08-19 |
| 1992315261 | Carlee P Gebeke | Counselor | 1201 25th St S, Fargo, ND 58103-2311 | 2020-08-03 |
| 1508490574 | Kelsey C Bauer | Social Worker | 1201 25th St S, Fargo, ND 58103-2311 | 2020-02-27 |
| 1386288181 | Angela Stephanie Blackford | Social Worker | 1201 25th St S, Fargo, ND 58103-2311 | 2019-11-05 |
| 1689216756 | Stacey L Arntson | Counselor | 1201 25th St S, Fargo, ND 58103-2311 | 2019-10-10 |
| 1588215495 | Twyla Ann Nielsen | Social Worker | 1201 25th St S, Fargo, ND 58103-2311 | 2019-09-23 |
| 1497304521 | Jennifer Longmore | Counselor | 1201 25th St S, Fargo, ND 58103-2311 | 2019-09-11 |
| 1205499407 | Jeffrey D Madsen | Counselor | 1201 25th St S, Fargo, ND 58103-2311 | 2019-04-15 |
| 1659832996 | Leslie Limvere | Social Worker | 1201 25th St S, Fargo, ND 58103-2311 | 2019-03-28 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492016 | Igniting Your Change | Clinic/Center | 1222 4th Ave N Apt 318, Fargo, ND 58102-4374 | 2020-06-22 |
| 1316569767 | Goetz Mental Wellness Initiative | Clinic/Center | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-05-08 |
| 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 |
| Find all providers in FARGO | ||||
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| 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.