NORTHRIDGE COUNSELING CENTRE INC (NPI# 1912063587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063587 |
| Entity Type | Organization |
| Organization Name | NORTHRIDGE COUNSELING CENTRE INC |
| Practice Address |
215 N 3rd Street Suite 202a Grand Forks ND 58203 |
| Practice Telephone | 7017727203 |
| Practice Fax Number | 7017727204 |
| Mailing Telephone | 7017727203 |
| Mailing Fax Number | 7017727204 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN PATRICK HENNESSY (OWNER COUNSELOR PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7017727203 |
| Authorized Official Credential | LAC NCAC II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1054 | ND | Behavioral Health & Social Service Providers |
| Street Address |
215 N 3RD STREET SUITE 202A |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| 1023626462 | Gianfranco Tarsitano | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2020-07-22 |
| Find all providers in zip 58203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931806 | Winonah Camille Monette | Counselor | 1133 S Columbia Rd, Grand Forks, ND 58201-4050 | 2015-05-18 |
| 1790005619 | Jodi L Ramberg | Counselor | 1407 24th Ave S Ste 225, Grand Forks, ND 58201-6761 | 2010-06-02 |
| 1851572929 | Julie A I Smith | Counselor | 2100 Columbia Road South, Suite 212, Grand Forks, ND 58201 | 2007-11-17 |
| 1336339803 | Gary R. Wentz | Counselor | 311 S 4th St Ste 1, Grand Forks, ND 58201-4792 | 2007-07-30 |
| 1669580940 | Judith A Ewoniuk-kuzel | Counselor | 151 South 4th Street, Suite 401, Grand Forks, ND 58201-4735 | 2006-08-28 |
| 1033728357 | Shenika Nicole Bordeaux-collins | Counselor | 1451 44th Avenue South, Grand Forks, ND 58201-5820 | 2020-07-23 |
| 1295372001 | Thomas William Solem | Counselor | 2315 Library Cir, Grand Forks, ND 58201-6327 | 2019-12-01 |
| 1982266029 | George Patrick Guimont | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-06-28 |
| 1770148371 | Elizabeth I Meyer | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-05-08 |
| 1386108579 | Abby J. Samson | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-01-22 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
Please comment or provide details below to improve the information on NORTHRIDGE COUNSELING CENTRE INC.
| 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.