Quinndui/Mip/Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1288 Issued in ND

Legal business name

QUINNDUI/MIP/COUNSELING

Practice address

47 West 6TH Street
Grafton, ND 58237-8704

Phone

(701) 741-3500

Fax

(701) 353-0424

NPI assigned

Apr 15, 2011

Last updated

Apr 15, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

QUINNDUI/MIP/COUNSELINGAs reported in NPPES

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

Authorized official

Name

Ms. Pamela Jean Quinn, LACNPI 1770873143

Title

Counselor-Owner

Phone

(701) 741-3500

Specialties & licenses 1

Addresses

Part of

Quinnduimipcounseling

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.

• Pamela Jean Quinn, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Grafton, ND
  • NPI 1770873143
  NPD (past) Authorized official

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1124318738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WEST 6TH STREET",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582378704",
            "telephone_number": "701-741-3500",
            "fax_number": "701-353-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WEST 6TH STREET",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582378704",
            "telephone_number": "701-741-3500",
            "fax_number": "701-353-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINNDUI/MIP/COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUINNDUI/MIP/COUNSELING",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "COUNSELOR-OWNER",
        "authorized_official_telephone_number": "701-741-3500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Beth Phelps, PHARMD
• Michaela B Pollock
• Anne Presteng, MS.CCC-SLP
• Lindsay Adair Presteng, FNP-BC
• Pamela Jean Quinn, LAC
• Ashra Shyanne Rangel
• Carol Rice, SLP
• Jordan Rudnik
• Karlie Ann Rudnik, PT, DPT
• James Rystedt, RPH

• Addiction (Substance Use Disorder) Counselor in Grafton, ND
• Providers in Grafton, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.