MS. MARY JO ELIZABETH ANDERSEN (NPI# 1205095361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205095361 |
| Entity Type | Individual |
| Full Name | MS. MARY JO ELIZABETH ANDERSEN |
| Credential | NCC, LPCC |
| Practice Address |
5201 Bishops Blvd S Suite B Fargo ND 58104-7608 |
| Practice Telephone | 7012354457 |
| Practice Fax Number | 7013567993 |
| Mailing Telephone | 7012354457 |
| Mailing Fax Number | 7013567993 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
51710104176 | ND | Behavioral Health & Social Service Providers |
| Street Address |
5201 BISHOPS BLVD S SUITE B |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927290 | Catholic Charities North Dakota | Voluntary or Charitable | 5201 Bishops Blvd S, Suite B, Fargo, ND 58104-7608 | 2006-05-12 |
| 1073047395 | Carlyss Ann Neufeld | Counselor | 5201 Bishops Blvd S, Ste. B, Fargo, ND 58104-7608 | 2017-04-13 |
| 1649532508 | Lorraine Anne Lubka | Marriage & Family Therapist | 5201 Bishops Blvd S, Suite B, Fargo, ND 58104-7608 | 2012-06-15 |
| 1992962823 | T Leanne Johnson | Social Worker | 5201 Bishops Blvd S, Suite B, Fargo, ND 58104-7608 | 2008-05-19 |
| 1487821922 | Adults Adopting Special Kids | Case Management | 5201 Bishops Blvd S, Suite B, Fargo, ND 58104-7608 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079760 | Patricia Bathie Counseling | Counselor | 4243 Auburn Ave, Fargo, ND 58104-8428 | 2020-10-02 |
| 1154950244 | Jeffrey D Bates Lpcc Pllc | Counselor | 1351 Page Dr S Ste 103, Fargo, ND 58103-3536 | 2020-04-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1851944680 | Chloe Krinke | Counselor | 4357 13th Ave S Ste 211, Fargo, ND 58103-7506 | 2019-07-21 |
| 1174006639 | Erin R Hagen | Counselor | 26 Roberts St N Ste 114, Fargo, ND 58102-5200 | 2018-09-11 |
| 1376090365 | Jeffrey Bates | Counselor | 4141 31st Ave S Ste 102, Fargo, ND 58104-8778 | 2016-09-07 |
| 1306227459 | Farryn Helm | Counselor | 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 | 2015-06-15 |
| 1518391192 | Gail N Reierson | Counselor | 2524 18th St S, Fargo, ND 58103-6602 | 2013-08-30 |
| 1588974018 | Debra K Deminck | Counselor | 3105 Elm St N, Fargo, ND 58102-1740 | 2010-10-18 |
| 1437460987 | Darrin Tonsfeldt | Counselor | 417 Main Ave Ste 302, Fargo, ND 58103-1956 | 2010-06-30 |
| Find all providers in FARGO | ||||
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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.