Abundant Grace Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ABUNDANT GRACE RECOVERY

Practice address

623 Main St
Williston, ND 58801-5317

Phone

(701) 641-0313

NPI assigned

Dec 11, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shonda Stivers, LMACNPI 1174979249

Title

Owner/Lmac

Phone

(701) 641-0313

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shonda N Stivers

  • Addiction (Substance Use Disorder) Counselor
  • Williston, ND
  • NPI 1174979249
  NPD Authorized official
• Danilynn Marie Clark, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Williston, ND
  • NPI 1760100556
  NPD
• Shannon M Wangsvick, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Williston, ND
  • NPI 1336228824
  NPD
• Darian Haug, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Williston, ND
  • NPI 1003735259
  NPD (past)

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1326855669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015317",
            "telephone_number": "701-641-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015317",
            "telephone_number": "701-641-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT GRACE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "OWNER/LMAC",
        "authorized_official_telephone_number": "701-641-0313",
        "authorized_official_credential": "LMAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 70177Wahus Consulting, Inc
• Accessible Podiatry, P.C. (Williston Foot & Ankle Clinic)
• Jesslynn Adams
• Keisha Mae Adams, APRN, FNP-BC
• Ademola Elijah Adekunle
• Ruth Marie Adekunle

• Addiction (Substance Use Disorder) Counselor in Williston, ND
• Providers in Williston, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.