Elephant in the Room Counseling PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELEPHANT IN THE ROOM COUNSELING PLLC

Practice address

1351 Page Dr S Ste 301
Fargo, ND 58103-3536

Phone

(701) 707-3576

Fax

(701) 707-3577

NPI assigned

Oct 7, 2021

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim M Spiczka Douglas, LPCC

Title

Owner

Phone

(701) 707-3576

Specialties & licenses 1

Addresses

Locations

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.

• Kim Spiczka

  • Professional Counselor
  • Fargo, ND
  • NPI 1356739551
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1104588037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 INTERSTATE BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032257",
            "telephone_number": "701-419-0543",
            "fax_number": "701-205-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 301",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-707-3576",
            "fax_number": "701-707-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEPHANT IN THE ROOM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SPICZKA DOUGLAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-707-3576",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Eken, PT, DPT
• Madysen Eklund, MS, CCC-SLP
• Teresa Ekren, BCBA
• Lamya Ibrahim El Nihum, DPM
• Rebecca Evelyn Elbert, CNS
• Mejra Elezovic
• Elizabeth Elgie, MS CF-SLP
• Osama Elhilali, M.D
• Mikhail Elias, PHARMD
• Jan M Eliassen, LSW

• Multi-Specialty Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Multi-Specialty Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.