| Southeast Human Service Center | |
|
2624 9th Ave S Fargo ND 58103-2350 | |
| (701) 298-4500 | |
| (701) 298-4400 |
| Full Name | Southeast Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2624 9th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Jeffrey J Stenseth (DIRECTOR) |
| Authorized Official Contact | 7012984500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Human Service Center 2624 9th Ave S Fargo ND 58103-2350 Ph: (701) 298-4500 | Southeast Human Service Center 2624 9th Ave S Fargo ND 58103-2350 Ph: (701) 298-4500 |
| NPI Number | 1932146941 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 8527027556 |
|---|---|
| Medicare Enrollment ID | O20041006000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932146941 | NPI | - | NPPES |
| 054520 | Medicaid | ND | |
| 90981SO | Other | MN | BCBS OF MN |
| 100001 | Other | ND | BCBS OF ND |
| Provider Name | Madeline L Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003914730 PECOS PAC ID: 7810893070 Enrollment ID: I20031209000508 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Michael P Capan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689728818 PECOS PAC ID: 2163495615 Enrollment ID: I20040813000833 |
| Provider Name | Laura A Kroetsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740382456 PECOS PAC ID: 9234151572 Enrollment ID: I20051229000552 |
| Provider Name | Jerrica L Sauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942390315 PECOS PAC ID: 2668575937 Enrollment ID: I20070307000588 |
| Provider Name | Maria De Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145309 PECOS PAC ID: 1557447760 Enrollment ID: I20080328000323 |
| Provider Name | Beth M Hemming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326087107 PECOS PAC ID: 0042374159 Enrollment ID: I20090203000696 |
| Provider Name | Joni M Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598708273 PECOS PAC ID: 0648308148 Enrollment ID: I20100504000222 |
| Provider Name | Lori J Esprit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548572688 PECOS PAC ID: 4587844592 Enrollment ID: I20110208001024 |
| Provider Name | Nancy J Hein Kolo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821182924 PECOS PAC ID: 9739363631 Enrollment ID: I20110418000193 |
| Provider Name | Nicole L Cross-hillman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003149790 PECOS PAC ID: 9133367865 Enrollment ID: I20130607000331 |
| Provider Name | Timothy T Vo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063447910 PECOS PAC ID: 2062442056 Enrollment ID: I20130723001058 |
| Provider Name | Kelly C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376896803 PECOS PAC ID: 7517191018 Enrollment ID: I20131017000170 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Kathryn Davis Tidd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285047738 PECOS PAC ID: 7911283007 Enrollment ID: I20170403002152 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Kimberly A White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689615619 PECOS PAC ID: 0547394470 Enrollment ID: I20180108002441 |
| Provider Name | Rose J Julius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316101074 PECOS PAC ID: 8123212545 Enrollment ID: I20180131002388 |
| Provider Name | Joseph M Cox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497027841 PECOS PAC ID: 4284875113 Enrollment ID: I20180625002906 |
| Provider Name | Jennifer J Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396170445 PECOS PAC ID: 1759628571 Enrollment ID: I20190131001962 |
| Provider Name | Leslie Marie Leintz Limvere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659832996 PECOS PAC ID: 9234471533 Enrollment ID: I20190507003099 |
| Provider Name | Jennifer L Lusinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314196 PECOS PAC ID: 1951714096 Enrollment ID: I20210108000713 |
| Provider Name | Blake M Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578996567 PECOS PAC ID: 8729491626 Enrollment ID: I20210114001569 |
| Provider Name | Asha Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306295043 PECOS PAC ID: 9133534704 Enrollment ID: I20210211001613 |
| Provider Name | Jordyn Ann Koski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568815959 PECOS PAC ID: 3072913011 Enrollment ID: I20210614002104 |
| Provider Name | Leah R Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962932400 PECOS PAC ID: 3072911890 Enrollment ID: I20211008001976 |
| Provider Name | Amy Hatcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336728591 PECOS PAC ID: 3173915642 Enrollment ID: I20220112001480 |
| Provider Name | Allison R Samuelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700410305 PECOS PAC ID: 7416340781 Enrollment ID: I20220209000774 |
| Provider Name | Karlee J Harwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922649391 PECOS PAC ID: 0749674158 Enrollment ID: I20220301001916 |
| Provider Name | Ashley L Rost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316498637 PECOS PAC ID: 0042605578 Enrollment ID: I20220321001577 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205451317 PECOS PAC ID: 4587051313 Enrollment ID: I20220426002844 |
| Provider Name | Laura H Strand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285798934 PECOS PAC ID: 8426431446 Enrollment ID: I20220823003677 |
| Provider Name | Jessica L Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144456955 PECOS PAC ID: 6608246103 Enrollment ID: I20221227001793 |
| Provider Name | Kejon L Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619309291 PECOS PAC ID: 7416327929 Enrollment ID: I20221227002375 |
| Provider Name | Amanda M Havelange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124677406 PECOS PAC ID: 9436515178 Enrollment ID: I20230522003152 |
| Provider Name | Cynthia Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184974222 PECOS PAC ID: 6002283249 Enrollment ID: I20230606001523 |
| Provider Name | Rhonda L Bry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336571918 PECOS PAC ID: 9032578133 Enrollment ID: I20230707001787 |
| Provider Name | Samson Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730566340 PECOS PAC ID: 5698120475 Enrollment ID: I20231013002862 |
| Provider Name | Sadiah N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087767 PECOS PAC ID: 5597165613 Enrollment ID: I20231102002110 |
| Provider Name | Christina Hemmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508204421 PECOS PAC ID: 8224471883 Enrollment ID: I20240210000421 |
| Provider Name | Melony Ray Sanford |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811408974 PECOS PAC ID: 5991148470 Enrollment ID: I20240212003728 |
| Provider Name | Jamie L Moe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609354141 PECOS PAC ID: 2860822806 Enrollment ID: I20240224000447 |
| Provider Name | Audrey Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316369739 PECOS PAC ID: 5395180160 Enrollment ID: I20240302000248 |
| Provider Name | Stephanie A Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578048625 PECOS PAC ID: 6204271075 Enrollment ID: I20240302000254 |
| Provider Name | Amanda Ockert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891245759 PECOS PAC ID: 9830534601 Enrollment ID: I20240302000262 |
| Provider Name | Tina M Raab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790819894 PECOS PAC ID: 5193160968 Enrollment ID: I20240302000306 |
| Provider Name | Heidi J Leckner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225643125 PECOS PAC ID: 0345685079 Enrollment ID: I20240304001818 |
| Provider Name | John Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801019997 PECOS PAC ID: 6002251741 Enrollment ID: I20240304002152 |
| Provider Name | John J Butgereit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629492715 PECOS PAC ID: 2961847603 Enrollment ID: I20240304002307 |
| Provider Name | Georgia M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376803957 PECOS PAC ID: 6709221377 Enrollment ID: I20240305003343 |
| Provider Name | Justin Slusser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669057089 PECOS PAC ID: 4587009170 Enrollment ID: I20240305003916 |
| Provider Name | Kelly L Mattis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841429719 PECOS PAC ID: 8628414216 Enrollment ID: I20240305004155 |
| Provider Name | James R Christensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518084045 PECOS PAC ID: 0345686911 Enrollment ID: I20240306002546 |
| Provider Name | Tarah E Cavett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922253954 PECOS PAC ID: 3577909076 Enrollment ID: I20240306003838 |
| Provider Name | Addy L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063937472 PECOS PAC ID: 3870939622 Enrollment ID: I20240314003127 |
| Provider Name | Amy M Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407187982 PECOS PAC ID: 6507204641 Enrollment ID: I20240409001025 |
Sanford Children's Southwest Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3528 | |
Forde Counseling Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 24th Ave S, Ste 102, Fargo, ND 58104 Phone: 701-941-0175 Fax: 701-941-3001 | |
Rvision Health Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 38th St Nw Ste A, Fargo, ND 58102 Phone: 877-893-4792 | |
Plains Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3290 20th St S, Fargo, ND 58104 Phone: 701-499-4800 Fax: 701-451-9452 | |
Heartsprings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Elm St N, Fargo, ND 58102 Phone: 701-261-3142 | |
Pediatric Arts Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3290 20th St S Ste A, Fargo, ND 58104 Phone: 701-478-4722 Fax: 701-893-9057 | |
Elephant In The Room Counseling Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 Page Dr S Ste 301, Fargo, ND 58103 Phone: 701-707-3576 Fax: 701-707-3577 |