Individual provider Active NPI

Victoria M Gore

  • Addiction (Substance Use Disorder) Counselor
  • Jamestown, ND
National Provider Identifier
1053849125
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1856 Issued in ND
Practice address
212 2ND St SW Unit 1056
Jamestown, ND 58402-6644
Phone
(701) 680-5207
Fax
(701) 291-4389
NPI assigned
Jun 1, 2017
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X ND
Addiction (Substance Use Disorder) Counselor 101YA0400X 1856 ND Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 307246 MN

Addresses

Primary practice location

212 2ND St SW Unit 1056
Jamestown, ND 58402-6644

Mailing address

PO Box 1056
Jamestown, ND 58402-1056
Phone (701) 680-5207

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
307246MNMDAddiction (Substance Use Disorder) Counselor
1856NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Recovery Training Services LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

212 2nd St SW
Unit 1056
Jamestown, ND 58402
Phone (701) 680-5207

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1053849125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584021056",
            "telephone_number": "701-680-5207",
            "fax_number": "701-291-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 2ND ST SW UNIT 1056",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584026644",
            "telephone_number": "701-680-5207",
            "fax_number": "701-291-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1856",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.