Individual provider Active NPI

Dharma Raj Pantha, LAC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Devils Lake, ND
National Provider Identifier
1285930735
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1638 Issued in ND
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1638NDMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.