| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Medicare PECOS PAC ID | 9335579598 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265707848 PECOS PAC ID: 0345525481 Enrollment ID: I20170331002151 |
| Provider Name | Samantha Navratil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063743607 PECOS PAC ID: 1759799109 Enrollment ID: I20210423000495 |
| Provider Name | Jennifer Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457523557 PECOS PAC ID: 3971904038 Enrollment ID: I20210625002429 |
| Provider Name | Naomi J Tabassum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932659125 PECOS PAC ID: 3971933136 Enrollment ID: I20240322003046 |
| Provider Name | Rachelle Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720765357 PECOS PAC ID: 1052753175 Enrollment ID: I20240521002943 |
| Provider Name | Sydney R Glende |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083104830 PECOS PAC ID: 0547702474 Enrollment ID: I20240607000080 |
| Provider Name | Trista Schon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063963171 PECOS PAC ID: 2163964099 Enrollment ID: I20240607000130 |
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