NPIMap

Organization Active NPI

Dakota Family Services

  • Clinic/Center
  • Minot, ND
National Provider Identifier
1114119989
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAKOTA FAMILY SERVICES
Practice address
6301 19TH Ave NW
Minot, ND 58703-8899
Phone
(701) 837-6508
Fax
(701) 837-9953
NPI assigned
Aug 15, 2007
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Tammy Moreno
Title
Credentialing
Phone
(701) 364-2950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6301 19TH Ave NW
Minot, ND 58703-8899

Mailing address

PO Box 5007
Minot, ND 58702-5007
Phone (701) 837-6508

Other names 1

  • Minot Dakota Family Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070910000835 ND Part B Supplier - Clinic/Group Practice 9335232198 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Bismarck, ND; Minot, ND; Fargo, ND

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dakota Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6301 19th Ave NW
Minot, ND 58703
Phone (701) 837-6508

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1114119989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025007",
            "telephone_number": "701-837-6508",
            "fax_number": "701-837-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 19TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587038899",
            "telephone_number": "701-837-6508",
            "fax_number": "701-837-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "701-364-2950"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minot Dakota Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.