Standing Tall Recovery & Consulting LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

STANDING TALL RECOVERY & CONSULTING LLC

Practice address

3523 45TH St S Ste 105
Fargo, ND 58104-8962

Phone

(701) 799-6012

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shenika Bordeaux-Collins, LMACNPI 1033728357

Title

Director

Phone

(701) 799-6012

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shenika Nicole Bordeaux-Collins, LAC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Moorhead, MN
  • NPI 1033728357
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1053150995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 16TH AVE S APT 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038943",
            "telephone_number": "701-799-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-799-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING TALL RECOVERY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX-COLLINS",
        "authorized_official_first_name": "SHENIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-799-6012",
        "authorized_official_credential": "LMAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brienne Jo Stairs, DPT
• Sandra Stalemo
• Stalina
• Donald J Stallman, MD
• Stand
• Jacqueline Stanford-Rodriguez
• Sonja Nicole Stang, LCSW
• Devaroux Stanga, RN
• Marsha Stangler
• Cody Benard Stanley

• Case Management Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• Case Management Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.