Organization Active NPI

Drake Counseling Services

  • Substance Abuse Rehabilitation Facility
  • Moorhead, MN
National Provider Identifier
1346567328
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1044691-1-CDT Issued in MN
Legal business name
DRAKE COUNSELING SERVICES
Practice address
919 8TH Ave N
Moorhead, MN 56560-2098
Phone
(701) 293-5429
Fax
(701) 293-0736
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Charles P. Drake, PH.D
Title
President
Phone
(701) 293-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1044691-1-CDT MN Primary

Addresses

Primary practice location

919 8TH Ave N
Moorhead, MN 56560-2098

Mailing address

1202 23Rd St S
Fargo, ND 58103-2951
Phone (701) 293-5429

National Provider Directory

National Provider Directory
Tax ID family
Drake Counseling Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1346567328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 23RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032951",
            "telephone_number": "701-293-5429",
            "fax_number": "701-293-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 8TH AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602098",
            "telephone_number": "701-293-5429",
            "fax_number": "701-293-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-293-5429",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1044691-1-CDT",
            "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 Apr 29, 2010; 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.