Organization Active NPI

Stein Specialized Counseling Center

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1104125483
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEIN SPECIALIZED COUNSELING CENTER
Practice address
1809 S Broadway
Suite a
Minot, ND 58701-6567
Phone
(701) 833-2085
Fax
(701) 837-1360
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Susan Stein, LICSW
Title
Owner
Phone
(701) 833-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1809 S Broadway
Suite a
Minot, ND 58701-6567

Mailing address

1809 S Broadway
Suite a
Minot, ND 58701-6567
Phone (701) 833-2085

National Provider Directory

National Provider Directory

Locations

1809 S Broadway
Ste A
Minot, ND 58701
Phone (701) 833-2085

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1104125483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S BROADWAY",
            "address_2": "SUITE A",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016567",
            "telephone_number": "701-833-2085",
            "fax_number": "701-837-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 S BROADWAY",
            "address_2": "SUITE A",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016567",
            "telephone_number": "701-833-2085",
            "fax_number": "701-837-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN SPECIALIZED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-833-2085",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.