New Story Counseling Services Llpc | |
1330 23rd St S Ste B Fargo ND 58103 | |
(701) 526-4898 | |
(701) 205-4734 |
Full Name | New Story Counseling Services Llpc |
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Speciality | Counselor |
Location | 1330 23rd St S, Fargo, North Dakota |
Authorized Official Name and Position | Nikki Gerber (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 7015264898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Story Counseling Services Llpc 1330 23rd St S Ste B Fargo ND 58103 Ph: (701) 526-4898 | New Story Counseling Services Llpc 1330 23rd St S Ste B Fargo ND 58103 Ph: (701) 526-4898 |
NPI Number | 1437707692 |
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Provider Enumeration Date | 08/30/2019 |
Last Update Date | 10/07/2022 |
Certification Date | 10/07/2022 |
Medicare PECOS PAC ID | 9335579598 |
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Medicare Enrollment ID | O20200501000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437707692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Erika L Lake |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265707848 PECOS PAC ID: 0345525481 Enrollment ID: I20170331002151 |
Provider Name | Samantha Navratil |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063743607 PECOS PAC ID: 1759799109 Enrollment ID: I20210423000495 |
Provider Name | Jennifer Kimball |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457523557 PECOS PAC ID: 3971904038 Enrollment ID: I20210625002429 |
Provider Name | Naomi J Tabassum |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932659125 PECOS PAC ID: 3971933136 Enrollment ID: I20240322003046 |
Provider Name | Rachelle Brown |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720765357 PECOS PAC ID: 1052753175 Enrollment ID: I20240521002943 |
Provider Name | Sydney R Glende |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083104830 PECOS PAC ID: 0547702474 Enrollment ID: I20240607000080 |
Provider Name | Trista Schon |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063963171 PECOS PAC ID: 2163964099 Enrollment ID: I20240607000130 |
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