Jeffrey D Bates LPCC PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JEFFREY D BATES LPCC PLLC

Practice address

1351 Page Dr S Ste 104
Fargo, ND 58103-3536

Phone

(701) 429-4724

Fax

(701) 532-0788

NPI assigned

Apr 2, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey D Bates, LPCCNPI 1376090365

Title

President

Phone

(701) 429-4724

Specialties & licenses 2

Addresses

Other names 1

• Vita Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Bates, LPC

  • Professional Counselor
  • Fargo, ND
  • NPI 1376090365
  NPD Authorized official

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1154950244",
    "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": "701-429-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-429-4724",
            "fax_number": "701-532-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D BATES LPCC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-429-4724",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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": "Vita Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vita Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JDL Counseling LLC
• Wilny Jean
• Jed D Hillmer OD PLLC
• Nicole L Jefferson, PT, DPT
• Jason Robert Jeffress, MD
• Jeffrey J Harrie DDS PC
• Rachel Eleanor Jellison, M.S., CF-SLP
• Deborah J Jenkins, R.N.
• Kandy Jenkins
• Michael E Jenkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.