Afton Quale

Individual provider Active NPI Peer Specialist · Fargo, ND

NPI 1285429787 · NPPES record last updated Apr 14, 2025

Key facts

NPI
1285429787
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
DUM00000 (ND)
Practice address
417 Main Ave Ste 401
Fargo, ND 58103-1956
Phone
(701) 289-7676
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DUM00000NDMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for Change Current
since Apr 20, 2025
Accepting new patients
Community Uplift Program Current
since Apr 20, 2025
Accepting new patients

Locations

417 Main Ave
Ste 401
Fargo, ND 58103
Phone (701) 289-7676

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X DUM00000 ND Yes

Addresses

Primary practice location

417 Main Ave Ste 401
Fargo, ND 58103-1956

Mailing address

417 Main Ave Ste 401
Fargo, ND 58103-1956
Phone (701) 289-7676

Other providers in Fargo, ND

All providers in Fargo, ND · Peer Specialist in North Dakota

Sources for this page

Verify at the official NPI Registry.