Stephanie Bauer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

770-1-15-14AN Issued in ND

Practice address

1726 S Washington St
33A
Grand Forks, ND 58201-6370

Phone

(701) 746-4584

NPI assigned

Jan 21, 2014

Last updated

Jan 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Family Service Center

  dba The Village Family Service Center

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1952679318
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1104249549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "33A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-746-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "33A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-746-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "770-1-15-14AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Joyann Bartel
• Hussain Basrawala, M.D.
• Marc D. Basson, MD, PHD, MBA
• Elizabeth Bates
• Tamra Sue Bauduin, PA-C
• Diane Kay Baumbach, LICSW
• Brenda Lee Baumer, BS
• Kacie Grace Baumler
• Will W Bayne, LMT
• Lori A Bazey, CRNA

• Professional Counselor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.