Active NPI
My Fathers House Sarahs Place
- Addiction (Substance Use Disorder) Counselor
- Fergus Falls, MN
National Provider Identifier
1093886756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 301516
- Legal business name
- MY FATHERS HOUSE SARAHS PLACE
- Practice address
- 414 N Union Ave
Fergus Falls, MN 56537-2131 - Phone
- (218) 998-4805
- NPI assigned
- Nov 13, 2006
- 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
- Mr. Mike Voorhees
- Title
- Executive Director
- Phone
- (218) 736-5934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 301516 | MN | Primary |
Addresses
Primary practice location
414 N Union Ave
Fergus Falls, MN 56537-2131
Mailing address
414 N Union Ave
Fergus Falls, MN 56537-2131
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093886756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N UNION AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N UNION AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372131",
"telephone_number": "218-998-4805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY FATHERS HOUSE SARAHS PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VOORHEES",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "218-736-5934",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "301516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.