Active NPI
Therapeutic Trauma and Counseling
- Clinical Social Worker
- Bismarck, ND
National Provider Identifier
1093305294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THERAPEUTIC TRAUMA AND COUNSELING
- Practice address
- 517 La Paz Ave
Bismarck, ND 58503-9097 - Phone
- (701) 595-2414
- NPI assigned
- Jan 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Lefever, LCSW
- Title
- Owner
- Phone
- (701) 595-2414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
517 La Paz Ave
Bismarck, ND 58503-9097
Mailing address
PO Box 111
Bismarck, ND 58502-0111
Other names 1
- Lotus Therapeutic Services PLLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hello@lotustherapeuticservices.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1093305294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585020111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 LA PAZ AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585039097",
"telephone_number": "701-595-2414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC TRAUMA AND COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "LEFEVER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-595-2414",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hello@lotustherapeuticservices.net",
"affiliation": "N",
"endpointDescription": "practice email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "517 La Paz Ave",
"city": "Bismarck",
"state": "ND",
"country_code": "US",
"postal_code": "585039097",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Lotus Therapeutic Services PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.