VILLAGE FAMILY SERVICE CENTER (NPI# 1568492353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568492353 |
| Entity Type | Organization |
| Organization Name | VILLAGE FAMILY SERVICE CENTER |
| Practice Address |
1201 25th St S Fargo ND 58106-9859 |
| Mailing Address |
1201 25th St S Po Box 9859 Fargo ND 58106-9859 |
| Practice Telephone | 7014514900 |
| Practice Fax Number | 7014515056 |
| Mailing Telephone | 7014514900 |
| Mailing Fax Number | 7014514891 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | DOUG VANG (PRESIDENT/CEO) |
| Authorized Official Telephone | 7014514900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
316-8-1-95-97 | ND | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952679318 | Village Family Service Center | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2011-12-13 |
| 1548430614 | Village Family Service Center | Case Management | 1201 25th St S, Fargo, ND 58103-2311 | 2008-03-05 |
| 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 | 58106-9859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063979540 | Katherine Figuerres | Counselor | 1201 25th St S, Fargo, ND 58103-2311 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407024326 | Julie S Solberg | Physician Assistant | 1000 South Columbia Road, Grand Forks, ND 58106-6002 | 2008-02-13 |
| 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.