Debberlee Fetting, LPCC
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1376863647 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1376863647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 622-1-1-09-213 (ND)
- Practice address
- 4357 13TH Ave S Ste 206C
Fargo, ND 58103-7505 - Phone
- (701) 478-2999
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 21, 2024 through Aug 21, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02846 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Tree Counseling PLLC | Professional | Current |
Accepting new patients |
Locations
3788 55th Ave S
Ste 208
Fargo, ND 58104
Phone (701) 478-2999
4357 13th Ave S
Ste 206C
Fargo, ND 58103
Phone (701) 478-2999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 622-1-1-09-213 | ND | |
| Professional Counselor | 101YP2500X | CC02846 | MN | |
| Professional Counselor | 101YP2500X | 622-1-1-09-213 | ND | Yes |
Addresses
Primary practice location
4357 13TH Ave S Ste 206C
Fargo, ND 58103-7505
Mailing address
4357 13TH Ave S Ste 206C
Fargo, ND 58103-7505
Phone (701) 478-2999
Other providers in Fargo, ND
- Brynn Fernholz
- Jessica Erin Fernholz
- Sierra Ferris
- Erik Glenn Fetner
- Dalton Fetsch
- Fetzer Family Chiropractic PLLC
- Christy Marie Fetzer
- Mariah Fevig
- Theresa Renae Fewless
- Chad Meredith Ficek
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.