MR. JOHN GERARD ALTENDORF (NPI# 1801999461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801999461 |
| Entity Type | Individual |
| Full Name | MR. JOHN GERARD ALTENDORF |
| Credential | MED LPCC |
| Practice Address |
1351 Page Dr S Ste 100 Fargo ND 58103-3536 |
| Practice Telephone | 7014127345 |
| Practice Fax Number | 7014784044 |
| Mailing Telephone | 7014127345 |
| Mailing Fax Number | 7014784044 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 347319655 | ND | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
347319655 | ND | Behavioral Health & Social Service Providers |
| Street Address |
1351 PAGE DR S STE 100 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336702687 | Altendorf Counseling | Clinic/Center | 1351 Page Dr S Ste 100, Fargo, ND 58103-3536 | 2019-04-22 |
| 1730699158 | Affinity Counseling & Education Center | Community/Behavioral Health | 1351 Page Dr S Ste 100, Fargo, ND 58103-3536 | 2017-10-11 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689146102 | Patricia Sue Tallakson | Counselor | 808 3rd Ave S Ste 303, Fargo, ND 58103-1865 | 2018-12-21 |
| 1396128062 | Wendy Regner | Counselor | 5574 Bishops Blvd S, Fargo, ND 58104-7251 | 2015-06-30 |
| 1497170245 | Haley Nudell | Counselor | 1330 Page Dr S, 3b, Fargo, ND 58103-3500 | 2014-03-03 |
| 1518302611 | Holly R Sabelman Miller | Counselor | 813 21st St S, Fargo, ND 58103-2437 | 2013-05-02 |
| 1982048351 | Hannah M. Ritteman | Counselor | 1128 Westrac Dr S Ste A, Fargo, ND 58103-8729 | 2013-04-29 |
| 1306149323 | Ashley Lynn Stielow | Counselor | 112 University Dr N Ste 300, Fargo, ND 58102-4661 | 2010-12-14 |
| 1467677690 | Claudia Marie Mcgrath | Counselor | 417 38th St S, Suite B, Fargo, ND 58103-6508 | 2007-04-14 |
| 1770610388 | Lisa Gaye Simon | Counselor | 3431 4th Ave Sw, Suite H, Fargo, ND 58103-2227 | 2007-02-28 |
| 1477698876 | Counseling Center Inc | Counselor | 1111 Westrac Dr, Suite 204, Fargo, ND 58103-2384 | 2007-02-21 |
| 1699883363 | Elizabeth A Brossart | Counselor | 3309 Fiechtner Dr S Ste H, Fargo, ND 58103-2375 | 2006-08-25 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on MR. JOHN GERARD ALTENDORF.
| 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.