Active NPI
Ellen Gugisberg, MED
- Professional Counselor
- Fargo, ND
National Provider Identifier
1285779447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1201 25TH St S
Fargo, ND 58103-2311 - Phone
- (701) 451-4900
- Fax
- (701) 451-5057
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ND | Primary |
Addresses
Primary practice location
1201 25TH St S
Fargo, ND 58103-2311
Mailing address
2634 Sungate Dr S
Fargo, ND 58103-3555
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58103-A004 | Other | ND | TRIWEST |
| HP70690 | Other | ND | HEALTH PARTNERS |
| 2040318 | Other | ND | CIGNA |
| 9397797 | Other | ND | PHCS |
| 309S8GU | Other | MN | BCBSMN |
| 17979 | Other | MN | BCBSND |
| 2352431 | Other | MN | AMERICA'S PPO |
| 62-87355 | Other | ND | MEDICA UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285779447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2634 SUNGATE DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581033555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032311",
"telephone_number": "701-451-4900",
"fax_number": "701-451-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGISBERG",
"first_name": "ELLEN",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "58103-A004",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP70690",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2040318",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9397797",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "309S8GU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSND",
"identifier": "17979",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2352431",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA UBH",
"identifier": "62-87355",
"state": "ND"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.