Active NPI
Jordan Elizabeth Register
- Professional Counselor
- Fargo, ND
National Provider Identifier
1104790179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1494-9-15-25A
- Practice address
- 1112 Nodak Dr S
Fargo, ND 58103-2333 - Phone
- (701) 232-6224
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1494-9-15-25A | ND | Primary |
Addresses
Primary practice location
1112 Nodak Dr S
Fargo, ND 58103-2333
Mailing address
1112 Nodak Dr S
Fargo, ND 58103-2333
Phone (701) 232-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Christian Counseling Center Inc | Professional | Current | Accepting new patients |
Locations
1112 Nodak Dr S
Fargo, ND 58103
Phone (701) 232-6224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1104790179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 NODAK DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032333",
"telephone_number": "701-232-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NODAK DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032333",
"telephone_number": "701-232-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGISTER",
"first_name": "JORDAN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1494-9-15-25A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.