Organization Active NPI

Devries Counseling Services PC

  • Multi-Specialty Clinic/Center
  • Moorhead, MN
National Provider Identifier
1316761463
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DEVRIES COUNSELING SERVICES PC
Practice address
3101 8TH St S
Moorhead, MN 56560-5062
Phone
(701) 941-0175
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Holly Devries, LPCNPI 1144911892
Title
Owner
Phone
(804) 629-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3101 8TH St S
Moorhead, MN 56560-5062

Mailing address

3101 8TH St S
Moorhead, MN 56560-5062
Phone (804) 629-2260

National Provider Directory

National Provider Directory

Locations

3101 8th St S
Moorhead, MN 56560
Phone (701) 241-9281

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1316761463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605062",
            "telephone_number": "804-629-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605062",
            "telephone_number": "701-941-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVRIES COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-629-2260",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.