Organization Active NPI

Ronin Counseling

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1245807452
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RONIN COUNSELING
Practice address
3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490
Phone
(701) 630-8813
Fax
(701) 425-0448
NPI assigned
Jun 7, 2021
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Paul Afanasi Polanski, LCSWNPI 1376151597
Title
Licensed Clinical Social Worker
Phone
(701) 630-8813

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490

Mailing address

3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490
Phone (701) 630-8813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913001695 ND Part B Supplier - Clinic/Group Practice 2567868862 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

3217 Fiechtner Dr S
Ste C
Fargo, ND 58103

3285 Fiechtner Dr S
Ste 2
Fargo, ND 58103
Phone (701) 630-8813

3285 Fiechtner Dr S
Ste B
Fargo, ND 58103
Phone (701) 361-8273

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1245807452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 FIECHTNER DR S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032490",
            "telephone_number": "701-630-8813",
            "fax_number": "701-425-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 FIECHTNER DR S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032490",
            "telephone_number": "701-630-8813",
            "fax_number": "701-425-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "POLANSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "AFANASI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "701-630-8813",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 8, 2025; 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.