Organization Active NPI

Grand Forks Counseling and Therapy PLLC

  • Psychologist
  • Grand Forks, ND
National Provider Identifier
1306579206
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GRAND FORKS COUNSELING AND THERAPY PLLC
Practice address
1407 24TH Ave S Ste 206
Grand Forks, ND 58201-6773
Phone
(701) 610-1242
NPI assigned
Jul 7, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Rhanda B Clow, PHD
Title
Psychologist/Owner
Phone
(701) 610-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1407 24TH Ave S Ste 206
Grand Forks, ND 58201-6773

Mailing address

1407 24TH Ave S Ste 206
Grand Forks, ND 58201-6773
Phone (701) 610-1242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1306579206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S STE 206",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016773",
            "telephone_number": "701-610-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S STE 206",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016773",
            "telephone_number": "701-610-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND FORKS COUNSELING AND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "RHANDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "701-610-1242",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.