Centerstone Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3498 Issued in ND

Legal business name

CENTERSTONE COUNSELING

Practice address

417 38TH St SW Ste D
Fargo, ND 58103-6508

Phone

(701) 566-3922

Fax

(701) 551-7001

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Krista Lee Stone, LICSWNPI 1770741464

Title

Sole Proprietor/Therapist

Phone

(701) 566-3922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista L Stone, LICSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1770741464
  NPD (past) Authorized official

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1295262897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 38TH ST SW STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036508",
            "telephone_number": "701-566-3922",
            "fax_number": "701-551-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 38TH ST SW STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036508",
            "telephone_number": "701-566-3922",
            "fax_number": "701-551-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/THERAPIST",
        "authorized_official_telephone_number": "701-566-3922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERITCARE",
            "identifier": "1770741464",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.