Stephanie Bauer
Individual provider Active NPI Professional Counselor · Grand Forks, ND
NPI 1104249549 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1104249549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 770-1-15-14AN (ND)
- Practice address
- 1726 S Washington St
33A
Grand Forks, ND 58201-6370 - Phone
- (701) 746-4584
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 770-1-15-14AN | ND | Yes |
Addresses
Primary practice location
1726 S Washington St
33A
Grand Forks, ND 58201-6370
Mailing address
1726 S Washington St
33A
Grand Forks, ND 58201-6370
Phone (701) 746-4584
Other providers in Grand Forks, ND
- Elise Joyann Bartel
- Hussain Basrawala
- Marc D. Basson
- Elizabeth Bates
- Tamra Sue Bauduin
- Diane Kay Baumbach
- Brenda Lee Baumer
- Kacie Grace Baumler
- Will W Bayne
- Lori A Bazey
All providers in Grand Forks, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.