Kenneth W Merkes, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Valley City, ND

NPI 1013214543 · NPPES record last updated Feb 18, 2011

Key facts

NPI
1013214543
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1637 (ND)
Practice address
202 Central Ave S Ste 5
Valley City, ND 58072-3325
Phone
(701) 845-2498
NPI assigned
Feb 18, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New Freedom Counseling Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1637 ND Yes

Addresses

Primary practice location

202 Central Ave S Ste 5
Valley City, ND 58072-3325

Mailing address

449 Riverview Dr
Valley City, ND 58072-3901
Phone (701) 845-5845

Other providers in Valley City, ND

All providers in Valley City, ND · Addiction (Substance Use Disorder) Counselor in North Dakota

Sources for this page

Verify at the official NPI Registry.