Jennifer Eberle, LPCC-S
Individual provider Active NPI Mental Health Counselor · Valley City, ND
NPI 1184903544 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1184903544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 575 10TH St SW Ste 3
Valley City, ND 58072-3906 - Phone
- (701) 367-8293
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515001825 | ND | Practitioner - Mental Health Counselor | 8325566110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Mountains Counseling PLLC | Mental Health | Current |
Accepting new patients |
| Creative Therapy PLLC | Past | Accepting new patients |
Locations
575 10th St SW
Ste 3
Valley City, ND 58072
Phone (701) 367-8293
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
575 10TH St SW Ste 3
Valley City, ND 58072-3906
Mailing address
575 10TH St SW Ste 3
Valley City, ND 58072-3906
Phone (701) 367-8293
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145374 | Medicaid | ND |
Other providers in Valley City, ND
- Sarah Dantes
- Dental Associates of Valley City P.C.
- Jay Alan Determan
- Paul L Diegel
- Tanya L Diegel
- Jennifer Edwards
- Encompass Family Support Services
- Theresa Enno
- Jesse Daniel Everson
- Family Health Care Center
All providers in Valley City, ND · Mental Health Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.