NPIMap

Organization Active NPI

Solace Counseling PLLC

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1235799842
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOLACE COUNSELING PLLC
Practice address
1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone
(701) 203-8725
NPI assigned
Jun 17, 2019
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Brittany Schank, LICSWNPI 1992252621
Title
Owner
Phone
(701) 412-3938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1321 23Rd St S Ste D
Fargo, ND 58103-3724

Mailing address

1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone (701) 203-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200916001065 ND Part B Supplier - Clinic/Group Practice 1254759681 Receives reassigned benefits from 5 practitioners
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

1131 Westrac Dr S
Ste 100
Fargo, ND 58103
Phone (701) 203-8725

1131 Westrac Dr S
Ste 107
Fargo, ND 58103
Phone (701) 203-8725

1321 23rd St S
Ste D
Fargo, ND 58103
Phone (701) 203-8725

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1235799842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-412-3938",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.