NPIMap

Organization Active NPI

Sharehouse Genesis

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
National Provider Identifier
1356576979
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1056 Issued in ND
Legal business name
SHAREHOUSE GENESIS
Practice address
505 40TH St S Unit B
Fargo, ND 58103-1184
Phone
(701) 478-8440
Fax
(651) 925-0046
NPI assigned
May 27, 2009
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAREHOUSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Mr. Jeremy Traen, LBSW,LCAC,LADC.MBANPI 1811274038
Title
Ceo/President
Phone
(701) 532-4345

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X 1056 ND Primary

Addresses

Primary practice location

505 40TH St S Unit B
Fargo, ND 58103-1184

Mailing address

4227 9TH Ave S
Fargo, ND 58103-2018
Phone (701) 282-6561

National Provider Directory

National Provider Directory
Tax ID family
Sharehouse Genesis5 organizations share this tax ID, including this one
Part of
Sharehouse Genesis

Other organizations with this tax ID 4

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

Locations

505 40th St S
Ste G
Fargo, ND 58103

505 40th St SW
Unit B
Fargo, ND 58103
Phone (701) 282-6561

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1356576979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 9TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032018",
            "telephone_number": "701-282-6561",
            "fax_number": "651-925-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 40TH ST S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031184",
            "telephone_number": "701-478-8440",
            "fax_number": "651-925-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAREHOUSE GENESIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAREHOUSE, INC.",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "TRAEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "701-532-4345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW,LCAC,LADC.MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ND",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.