LUTHERAN SOCIAL SERVICES OF ND (NPI# 1356558878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356558878 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF ND |
| Practice Address |
3911 20th Ave S Fargo ND 58103 |
| Mailing Address |
Po Box 389 Fargo ND 58107-0389 |
| Practice Telephone | 7012357341 |
| Mailing Telephone | 7012357341 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | MS. JESSICA THOMMASON (PRESIDENT CEO) |
| Authorized Official Telephone | 7012357341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0005817398 | 01 | |
| ND | 57446 | 05 | |
| MEDICA | 50-50094 | 01 | |
| ND | 54635 | 05 | |
| ND | BLUE CROSS BLUE SHIELD ND | 10355 | 01 |
| ND | 050955 | 05 | |
| ND | 55350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225459027 | Lutheran Social Services of Nd | Clinic/Center | 3911 20th Ave S, Fargo, ND 58107 | 2013-12-20 |
| Street Address |
3911 20TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811083173 | Glenda G Trochmann | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2006-10-05 |
| 1871190793 | Toby Farrenkopf | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-10-04 |
| 1285231241 | Amy Brooks | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-10-02 |
| 1942807904 | Carmel Froemke | Case Manager/Care Coordinator | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-10-02 |
| 1336754993 | Heidi Frances Dahmes | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-09-10 |
| 1710509914 | Amanda Cossette | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-05-11 |
| 1316569767 | Goetz Mental Wellness Initiative | Clinic/Center | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-05-08 |
| 1346861432 | Kelsey Moorhouse | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-04-30 |
| 1982225074 | Hayley Jangula | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-04-30 |
| 1073134227 | Rebekah Noel Jensen | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-04-29 |
| Find all providers in the same location | ||||
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336273432 | North Dakota State Hospital | Psychiatric Residential Treatment Facility | 2207 2211 Cottage Lane, Jamestown, ND 58401 | 2007-03-14 |
| 1376501262 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703-8824 | 2006-05-02 |
| 1922184167 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1578649711 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1851476105 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-26 |
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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.