Active NPI
Dharma Raj Pantha, LAC, LPC
- Addiction (Substance Use Disorder) Counselor
- Devils Lake, ND
National Provider Identifier
1285930735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1638
- Practice address
- 1820 Walnut St E
Suit # 7
Devils Lake, ND 58301-3411 - Phone
- (701) 665-2149
- Fax
- (701) 665-2153
- NPI assigned
- Feb 1, 2011
- Last updated
- Feb 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1638 | ND | Primary |
| Mental Health Counselor | 101YM0800X | 678-1-1-11 | ND |
Addresses
Primary practice location
1820 Walnut St E
Suit # 7
Devils Lake, ND 58301-3411
Mailing address
231 Kemp Ave SE
Apt # 112
Devils Lake, ND 58301-3978
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1638 | ND | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Solutions, P.C. | Past | Accepting new patients |
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.
-
dba Center for Solutions
- Substance Use Disorder Rehabilitation Clinic/Center
- Devils Lake, ND
- NPI 1780840223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1285930735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 KEMP AVE SE",
"address_2": "APT # 112",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 WALNUT ST E",
"address_2": "SUIT # 7",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013411",
"telephone_number": "701-665-2149",
"fax_number": "701-665-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTHA",
"first_name": "DHARMA",
"middle_name": "RAJ",
"credential": "LAC, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1638",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "678-1-1-11",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.