| Village Family Service Center | |
|
2701 12th Ave S Fargo ND 58103-8753 | |
| (701) 451-4900 | |
| (651) 925-0057 |
| Full Name | Village Family Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 12th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Kelly Olson (PRESIDENT/CEO) |
| Authorized Official Contact | 7014514900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Service Center 2701 12th Ave S Fargo ND 58103-8753 Ph: (701) 451-4900 | Village Family Service Center 2701 12th Ave S Fargo ND 58103-8753 Ph: (701) 451-4900 |
| NPI Number | 1568492353 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7517857428 |
|---|---|
| Medicare Enrollment ID | O20040316000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568492353 | NPI | - | NPPES |
| Provider Name | Melissa Leverence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639313539 PECOS PAC ID: 2062674211 Enrollment ID: I20120503000637 |
| Provider Name | Susan B Dubray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740557602 PECOS PAC ID: 3173824216 Enrollment ID: I20151215002412 |
| Provider Name | Allison Flink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407396864 PECOS PAC ID: 8325448764 Enrollment ID: I20210607002506 |
| Provider Name | Jenna Leigh Forbord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669987004 PECOS PAC ID: 0749631620 Enrollment ID: I20240104002051 |
| Provider Name | Jodee L Knipfer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689968521 PECOS PAC ID: 8224489828 Enrollment ID: I20240108006069 |
| Provider Name | Kate Turnbow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083212138 PECOS PAC ID: 3072964683 Enrollment ID: I20240109000140 |
| Provider Name | Kari M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548919590 PECOS PAC ID: 4183075666 Enrollment ID: I20240109002742 |
| Provider Name | Kelsey Marie Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275136111 PECOS PAC ID: 9133570302 Enrollment ID: I20240111004342 |
| Provider Name | Janet Amundson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932525359 PECOS PAC ID: 8426409582 Enrollment ID: I20240112002919 |
| Provider Name | Christine J Bushy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811228075 PECOS PAC ID: 5799136883 Enrollment ID: I20240112003735 |
| Provider Name | Micah Grace Curtiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578074555 PECOS PAC ID: 9032560123 Enrollment ID: I20240112003788 |
| Provider Name | Lorea Jean Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427680156 PECOS PAC ID: 3173975265 Enrollment ID: I20240112003969 |
| Provider Name | Calie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821508698 PECOS PAC ID: 8527450212 Enrollment ID: I20240115001856 |
| Provider Name | Gabrielle Hagen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376111880 PECOS PAC ID: 7810349891 Enrollment ID: I20240115001861 |
| Provider Name | Bethany Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497203988 PECOS PAC ID: 2062864762 Enrollment ID: I20240118001563 |
| Provider Name | Tammy Sattler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952840688 PECOS PAC ID: 8729430459 Enrollment ID: I20240118002536 |
| Provider Name | Laura S. Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558300707 PECOS PAC ID: 6406208974 Enrollment ID: I20240119003111 |
| Provider Name | Mary K Uong-kaale |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174839724 PECOS PAC ID: 3971955303 Enrollment ID: I20240122000681 |
| Provider Name | Kristi Ventzke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760710016 PECOS PAC ID: 5395197776 Enrollment ID: I20240122002418 |
| Provider Name | Natasha Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154085223 PECOS PAC ID: 2567815046 Enrollment ID: I20240131003883 |
| Provider Name | Kelly Olson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790804409 PECOS PAC ID: 0244621092 Enrollment ID: I20240201000084 |
| Provider Name | Carlee P Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992315261 PECOS PAC ID: 1153765086 Enrollment ID: I20240220001187 |
| Provider Name | Mallary Schaefer Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912324997 PECOS PAC ID: 8628412269 Enrollment ID: I20240222000259 |
| Provider Name | Shelby Hildenbrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073089355 PECOS PAC ID: 5294173803 Enrollment ID: I20240402001651 |
| Provider Name | Miranda Faye Huesman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457934135 PECOS PAC ID: 3072951698 Enrollment ID: I20240402002225 |
| Provider Name | Stormie Flick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629649744 PECOS PAC ID: 3779921309 Enrollment ID: I20240402002371 |
| Provider Name | Brandon J Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538828736 PECOS PAC ID: 8022456656 Enrollment ID: I20240402002417 |
| Provider Name | Beven J Casavant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861565152 PECOS PAC ID: 9931547874 Enrollment ID: I20240410003273 |
| Provider Name | Joan Shulind |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093815300 PECOS PAC ID: 4486094091 Enrollment ID: I20240430002289 |
| Provider Name | Katie Roach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215459011 PECOS PAC ID: 7618319070 Enrollment ID: I20240530002395 |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Child And Family Therapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Westrac Dr S Ste 204, Fargo, ND 58103 Phone: 701-893-3419 Fax: 701-356-8801 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Sanford Neuroscience Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4134 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
Forest River Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S, Fargo, ND 58104 Phone: 701-793-5400 |