Youth by Beths Place LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

YOUTH BY BETHS PLACE LLC

Practice address

1606 30TH Ave S Ste 2
Moorhead, MN 56560-5147

Phone

(701) 936-1190

Fax

(218) 600-5488

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Cassie Kasowski

Title

Ladc

Phone

(701) 936-1190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1154042018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S STE 2",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-936-1190",
            "fax_number": "218-600-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S STE 2",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-936-1190",
            "fax_number": "218-600-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH BY BETHS PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "KASOWSKI",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "LADC",
        "authorized_official_telephone_number": "701-936-1190"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Yak
• Shashee Yang
• Stanley Yaya
• Christopher Gail Ylitalo
• Maia Young
• Christopher Zabel, PHARMD
• Courtney Zachmeier
• Alfreda K Zaizay II
• Carolina Zamarron
• McKenzie Zander

• Addiction (Substance Use Disorder) Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.