Addie's Angels of North Dakota

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADDIE'S ANGELS OF NORTH DAKOTA

Practice address

1609 29TH Ave S
Fargo, ND 58103-5922

Phone

(701) 429-0320

NPI assigned

Dec 19, 2020

Last updated

Dec 30, 2020By 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

Ashley Elizabeth Thompson, LPCC

Title

President

Phone

(701) 429-0320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1336735752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 29TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035922",
            "telephone_number": "701-429-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 29TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035922",
            "telephone_number": "701-429-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIE'S ANGELS OF NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-429-0320",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Steven Adams, M.D
• Paula Terese Adams, D.C.
• Shai Boe Adams, PHARMD
• Salad Shube Adan
• Angela Addae-Aboagye
• Abdiaziz Jimale Aden
• Westin Adilis
• Paige Adkins
• Adults Adopting Special Kids
• Advanced Dental Technologies Center

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fargo, ND
• Providers in Fargo, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.