| Northland Christian Counseling Center | |
|
1615 17th Ave S Grand Forks ND 58201-5372 | |
| (701) 795-8550 | |
| (701) 746-5523 |
| Full Name | Northland Christian Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1615 17th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Jason Wood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7017958550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Christian Counseling Center 1615 17th Ave S Grand Forks ND 58201-5372 Ph: (701) 795-8550 | Northland Christian Counseling Center 1615 17th Ave S Grand Forks ND 58201-5372 Ph: (701) 795-8550 |
| NPI Number | 1215131016 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 7719946904 |
|---|---|
| Medicare Enrollment ID | O20041004001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215131016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jean Gullicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871520635 PECOS PAC ID: 4587674676 Enrollment ID: I20060503000843 |
| Provider Name | Renae A Broden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902001373 PECOS PAC ID: 9537326285 Enrollment ID: I20120207000803 |
| Provider Name | Sara L Suda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447603832 PECOS PAC ID: 6002175940 Enrollment ID: I20180122001958 |
| Provider Name | Stephen H. Seay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467657460 PECOS PAC ID: 3779614185 Enrollment ID: I20240430001628 |
| Provider Name | Jason P Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548770548 PECOS PAC ID: 2769855931 Enrollment ID: I20240528001635 |
| Provider Name | Amanda Presteng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336728484 PECOS PAC ID: 3577905975 Enrollment ID: I20240530004082 |
Family Institute, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Center For Psychiatric Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Unit A, Grand Forks, ND 58201 Phone: 701-732-2500 Fax: 701-732-2501 | |
Lipp, Carlson, Witucki & Associates, Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872 | |
Woodnote Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1913 S Washington St, Grand Forks, ND 58201 Phone: 701-317-6590 | |
Arise Above Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 South 18th Street, Grand Forks, ND 58201 Phone: 701-757-0537 Fax: 701-757-4024 | |
Down To Earth Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 24th Ave S, Grand Forks, ND 58201 Phone: 701-740-9040 | |
Development Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N 4th St, Grand Forks, ND 58203 Phone: 701-335-4013 |