CONNIE ROD (NPI# 1689000432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689000432 |
| Entity Type | Individual |
| Full Name | CONNIE ROD |
| Credential | LAC |
| Practice Address |
6301 19th Ave Nw Minot ND 58703-8899 |
| Mailing Address |
Po Box 5007 Minot ND 58702-5007 |
| Practice Telephone | 7018523628 |
| Mailing Telephone | 7017129703 |
| Mailing Fax Number | 7018581801 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1789 | ND | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 30th Ave Nw, Suite D, Minot, ND 587030610 | 7017129703 | 7018581801 |
| Street Address |
6301 19TH AVE NW |
| City | MINOT |
| State | ND |
| Zip Code | 58703-8899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376501262 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703-8824 | 2006-05-02 |
| 1154967016 | Matthew Stewart Baumgartner | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-11-25 |
| 1568922490 | Randall Lee | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-03-25 |
| 1740769496 | Taylor Keller | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2018-08-13 |
| 1538600127 | Kelsey Kozel | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2017-03-15 |
| 1861946725 | Dinell Polsfut | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-09 |
| 1255885299 | Austin Larsen | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-08 |
| 1760890388 | Ashley Lauren Hebbard | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2014-07-28 |
| 1700212818 | Sandra M Lanz | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-09-20 |
| 1609118488 | Ashley Lynn Swift | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235053 | Teal Nelson | Counselor | 515 19th Ave Se, Minot, ND 58701-6634 | 2020-08-13 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1740814045 | Lisa Marie Voeller | Counselor | 1905 2nd St Se Ste 18, Minot, ND 58701-6566 | 2020-02-25 |
| 1194358366 | Robert M Hayes | Counselor | 7 3rd St Se Ste 109, Minot, ND 58701-3916 | 2020-02-17 |
| 1659926681 | Faa Addiction Services | Counselor | 900 N Broadway Ste 111, Minot, ND 58703-2378 | 2019-08-06 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1356792816 | Community Medical Services Montana-private, LLC | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2016-06-27 |
| 1851653430 | Amber Ann Twogood | Counselor | 1015 South Broadway Suite 18, Minot, ND 58701-4667 | 2012-06-11 |
| 1568577617 | Teri E Lendzion | Counselor | 400 22nd Ave Nw, Minot, ND 58703-1031 | 2006-08-20 |
| 1679504575 | Vicki A Jones | Counselor | 1809 S Broadway Ste S, Minot, ND 58701-6567 | 2006-07-06 |
| Find all providers in MINOT | ||||
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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.