Active NPI
Taylor Marie Bearinger, MS, LAPC
- Professional Counselor
- Fargo, ND
National Provider Identifier
1295483774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1212-7-1-22A
- Practice address
- 1201 25TH St S
Fargo, ND 58103-2311 - Phone
- (701) 451-4900
- Fax
- (651) 925-0057
- NPI assigned
- Mar 14, 2022
- Last updated
- Aug 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1212-7-1-22A | ND | |
| Professional Counselor | 101YP2500X | 1212-7-1-22A | ND | Primary |
Addresses
Primary practice location
1201 25TH St S
Fargo, ND 58103-2311
Mailing address
PO Box 9859
Fargo, ND 58106-9859
Phone (701) 451-4900
Other practice location 1
3220 4th St E Ste 102
West Fargo, ND 58078-3082
Phone (701) 501-7449
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Office | Direct |
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Sophie's, LLC | Past | Accepting new patients | |
| Village Family Service Center | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Fargo, ND
- NPI 1336443654
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1295483774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9859",
"city": "FARGO",
"state": "ND",
"postal_code": "581069859",
"telephone_number": "701-451-4900",
"fax_number": "651-925-0057"
},
{
"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": "651-925-0057"
}
],
"practiceLocations": [
{
"address_1": "3220 4th St E Ste 102",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580783082",
"country_code": "US",
"telephone_number": "701-501-7449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARINGER",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"credential": "MS, LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "1212-7-1-22A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1212-7-1-22A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Office",
"affiliation": "N",
"endpointDescription": "360 Therapy Associates",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3220 4th St E Ste 102",
"city": "West Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "580783082",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.