TAMARA MARIE MADLER (NPI# 1053474411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053474411 |
| Entity Type | Individual |
| Full Name | TAMARA MARIE MADLER |
| Credential | LICSW LAC |
| Practice Address |
510 4th St S Fargo ND 58103-1914 |
| Practice Telephone | 7014767800 |
| Practice Fax Number | 7014767261 |
| Mailing Telephone | 7014767800 |
| Mailing Fax Number | 7014767261 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3137 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 19151 | 05 |
| Street Address |
510 4TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901000 | Prairie St Johns | Psychiatric Hospital | 510 4th St S, Fargo, ND 58103-1914 | 2006-05-19 |
| 1083259824 | Cheryl Melbye | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2019-11-15 |
| 1881250884 | Anna Sebastian-wilson | Registered Nurse | 510 4th St S, Fargo, ND 58103-1914 | 2019-05-15 |
| 1861967440 | Aline Bernardine Muhimpundu | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2018-10-10 |
| 1467937573 | Mandy Jo Hofland | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2018-09-25 |
| 1083111892 | Amanda Lee Richter | Social Worker | 510 4th St S, Fargo, ND 58103-1914 | 2018-04-09 |
| 1780197095 | Paige Joann Robillard | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2017-11-08 |
| 1225581747 | Laura Kathryn Johnson | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2016-08-02 |
| 1043763220 | Ashley Bishop | Nurse Practitioner | 510 4th St S, Fargo, ND 58103-1914 | 2016-07-25 |
| 1720454267 | Psj Acquisition LLC | Counselor | 510 4th St S, Fargo, ND 58103-1914 | 2015-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991406 | N.i.a.m Brain Injury Services, LLP | Counselor | 1206 1st Ave S, Fargo, ND 58103-1747 | 2020-01-20 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1205360153 | Community Medical Services Montana-private, LLC | Counselor | 901 28th St S Ste B, Fargo, ND 58103-8743 | 2017-04-18 |
| 1962805317 | Lisa Vig | Counselor | 4720 7th Ave S Ste B, Fargo, ND 58103-7254 | 2014-09-30 |
| 1649689506 | Cara Christenson | Counselor | 505 40th St S, Suite B, Fargo, ND 58103-1184 | 2014-08-05 |
| 1215346259 | Stacey Nelson | Counselor | 4215 9th Ave S, Fargo, ND 58103-2018 | 2014-08-04 |
| 1508273418 | Robert Hansen | Counselor | 1202 23rd St S Ste 5, Fargo, ND 58103-2951 | 2014-07-14 |
| 1326469883 | Community Extended Nuclear Transitional Residence for Ex-offenders | Counselor | 123 15th St N, Fargo, ND 58102-4220 | 2013-12-30 |
| 1760765416 | Roberta J Pytlik | Counselor | 17 7th St S, Fargo, ND 58103-1800 | 2011-09-20 |
| 1891934873 | Paulette L Walker | Counselor | 1121 Westrac Dr S Ste 202, Fargo, ND 58103-2385 | 2009-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.