Stage of Change Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STAGE OF CHANGE THERAPY PLLC

Practice address

4200 James Dr # 305
Grand Forks, ND 58202

Phone

(701) 213-6999

NPI assigned

Jan 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Nygaard, LCSWNPI 1912214719

Title

LCSW/Owner

Phone

(701) 213-6999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam D Nygaard, LCSW

  • Social Worker
  • Grand Forks, ND
  • NPI 1912214719

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Kevan Greene, MSW, LCSW

  • Social Worker
  • Grand Forks, ND
  • NPI 1861731002

  Clinical

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1003627506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JAMES DR # 305",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58202",
            "telephone_number": "701-213-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JAMES DR # 305",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58202",
            "telephone_number": "701-213-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGE OF CHANGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "NYGAARD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "701-213-6999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Spivey, LICSW
• Jessica Ann Sporbert, M.S. CCC-SLP
• Stacy M Spray, OT
• Jamie Rose St Claire, MSW, LMSW
• St. Anne'S Guest Home
• Casandra Anne Stanley, LICSW
• Hallee Morgan Stark
• Joseph Stark, LSW
• Katie Stark, MOTR/L
• Start Somewhere Counseling Services LLC

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.