Rachelle Juntunen, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1522 Issued in ND

Practice address

66 W Museum Dr
Dickinson, ND 58601-3864

Phone

(701) 456-7790

Fax

(701) 456-7687

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Multi-County Correction Center

  • Addiction (Substance Use Disorder) Counselor
  • Dickinson, ND
  • NPI 1780236935
  NPD (past) Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1407408669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MCKENZIE ST",
            "city": "NEW ENGLAND",
            "state": "ND",
            "postal_code": "586477310",
            "telephone_number": "701-579-5100",
            "fax_number": "701-579-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W MUSEUM DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013864",
            "telephone_number": "701-456-7790",
            "fax_number": "701-456-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTUNEN",
        "first_name": "RACHELLE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Jo Johnson, LPCC
• Tess Johnson, MS, LPCC
• Timothy Z Johnson
• Brianne Jones
• Grant Judah, PT
• Nicholl Jurgens-Dinius, PT
• Kada Transport LLC
• Kada Transport LLC
• Kahanalo Consulting LLC
• Joshua Roy Karey, LMT

• Addiction (Substance Use Disorder) Counselor in Dickinson, ND
• Providers in Dickinson, 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 Jul 9, 2019; 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.