Individual provider Active NPI

Ann Leuthard

  • Case Manager/Care Coordinator
  • Fargo, ND
National Provider Identifier
1235340928
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
3931 Issued in ND
Practice address
1644 Tom Williams Dr S Ste D
Fargo, ND 58104-6187
Phone
(701) 532-2149
NPI assigned
May 24, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3931 ND
Driver 172A00000X 3931 ND
Case Manager/Care Coordinator 171M00000X 3931 ND Primary

Addresses

Primary practice location

1644 Tom Williams Dr S Ste D
Fargo, ND 58104-6187

Mailing address

1644 Tom Williams Dr S Ste D
Fargo, ND 58104-6187
Phone (701) 523-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3931NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Circle Psychiatric Services PLLC Social Worker CurrentSince Jul 1, 2024 Accepting new patients

Locations

1644 Tom Williams Dr S
Ste D
Fargo, ND 58104
Phone (701) 532-2149

3220 18th St S
Ste 7
Fargo, ND 58104
Phone (701) 532-2149

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1235340928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 TOM WILLIAMS DR S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046187",
            "telephone_number": "701-523-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 TOM WILLIAMS DR S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046187",
            "telephone_number": "701-532-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUTHARD",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3931",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "3931",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.