Organization Active NPI

Move Mountains Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valley City, ND
National Provider Identifier
1093528119
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOVE MOUNTAINS COUNSELING PLLC
Practice address
575 10TH St SW
Suite 3
Valley City, ND 58072-3906
Phone
(701) 840-6484
NPI assigned
Jan 31, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Jennifer Eberle, LPCCNPI 1184903544
Title
Owner
Phone
(701) 367-8293

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

575 10TH St SW
Suite 3
Valley City, ND 58072-3906

Mailing address

575 10TH St SW
Suite 3
Valley City, ND 58072-3906
Phone (701) 367-8293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515001713 ND Part B Supplier - Clinic/Group Practice 7416475207 Receives reassigned benefits from 1 practitioner
Practice locations: Valley City, ND

National Provider Directory

National Provider Directory

Locations

575 10th St SW
Ste 3
Valley City, ND 58072
Phone (701) 367-8293

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1093528119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 10TH ST SW",
            "address_2": "SUITE 3",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723906",
            "telephone_number": "701-367-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 10TH ST SW",
            "address_2": "SUITE 3",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723906",
            "telephone_number": "701-840-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE MOUNTAINS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-367-8293",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.