MOUNTAIN PLAINS YOUTH SERVICES (NPI# 1700179694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700179694 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN PLAINS YOUTH SERVICES |
| Practice Address |
317 University Dr S Fargo ND 58103-1762 |
| Practice Telephone | 7012328558 |
| Practice Fax Number | 7012327688 |
| Mailing Telephone | 7012328558 |
| Mailing Fax Number | 7012327688 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MS. JONI LYNN HUBRIG (SOCIAL WORKER) |
| Authorized Official Telephone | 7012328558 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN PLAINS YOUTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 15361 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 4508 | ND | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407147218 | Mountain Plains Youth Services | Social Worker | 221 W Rosser Ave, Bismarck, ND 58501-3755 | 2011-04-27 |
| 1306042098 | Mountain Plains Youth Services | Community/Behavioral Health | 225 W Rosser, Bismark, ND 58501 | 2007-06-21 |
| Street Address |
317 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104077528 | Kari Greer | Speech-Language Pathologist | 317 University Dr S, Ste B, Fargo, ND 58103-1762 | 2008-10-03 |
| 1124359922 | Valerie Stevenson | Occupational Therapist | 317 University Dr S, Suite B, Fargo, ND 58103-1762 | 2010-01-19 |
| 1437385671 | Heather Marie Johnston | Speech-Language Pathologist | 317 University Dr S, Ste B, Fargo, ND 58103-1762 | 2009-06-02 |
| 1912133232 | Janet Rae Olson | Occupational Therapist | 317 University Dr S, Fargo, ND 58103-1762 | 2009-06-01 |
| 1962643031 | Andrea K Benson | Occupational Therapist | 317 University Dr S, Suite B, Fargo, ND 58103-1762 | 2009-03-18 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061505 | Fraser, Ltd | Community/Behavioral Health | 1621 34th St S, Fargo, ND 58103-8413 | 2020-10-21 |
| 1427657469 | Fraser, Ltd | Community/Behavioral Health | 514 University Dr S, Fargo, ND 58103-2648 | 2020-10-21 |
| 1083213045 | Fraser, Ltd | Community/Behavioral Health | 717 University Dr S, Fargo, ND 58103-2679 | 2020-10-21 |
| 1912506809 | Fraser, Ltd | Community/Behavioral Health | 4311 9th Avenue Cir S, Fargo, ND 58103-7081 | 2020-10-21 |
| 1912506213 | Fraser, Ltd | Community/Behavioral Health | 3585 58th Ct S, Fargo, ND 58104-7344 | 2020-10-19 |
| 1588261440 | Vocational Training Center, Inc. | Community/Behavioral Health | 424 9th Ave S, Fargo, ND 58103-2831 | 2020-10-05 |
| 1861054637 | Encompass Family Support Services | Community/Behavioral Health | 320 5th St N, Fargo, ND 58102-4815 | 2019-07-02 |
| 1811437916 | Clarity Counseling, Pllc | Community/Behavioral Health | 808 3rd Ave S, Ste 303, Fargo, ND 58103-1865 | 2017-03-08 |
| 1275088619 | Journey Counseling Pllc | Community/Behavioral Health | 222 Broadway N Ste 206, Fargo, ND 58102-4770 | 2016-08-15 |
| 1235412388 | Sharehouse Mental Health Clinic | Community/Behavioral Health | 505 40th St S Unit A, Fargo, ND 58103-1184 | 2011-09-26 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on MOUNTAIN PLAINS YOUTH SERVICES.
| 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.