Advance in Recovery, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Carrington, ND
NPI 1447736780 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1447736780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 691-7-1-11-232 (ND)
- Legal business name
- ADVANCE IN RECOVERY, PLLC
- Practice address
- 1206 Main St
Carrington, ND 58421-1902 - Phone
- (701) 645-1032
- NPI assigned
- Jul 18, 2018
- Organization subpart
- No
Authorized official
- Name
- Megan M Busch, LAC LPCC
- Title
- Lac/LPCC
- Phone
- (701) 645-1032
Practitioners 1
-
Megan Marie Ekren, LPCC, LMAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240313000971 | ND | Part B Supplier - Clinic/Group Practice | 8426494410 |
Receives reassigned benefits from 1 practitioner Practice locations: Carrington, ND |
National Provider Directory
Locations
1206 Main St
Carrington, ND 58421
Phone (701) 645-1032
94 9th Ave S
#2
Carrington, ND 58421
Phone (701) 645-1032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 691-7-1-11-232 | ND | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X | 1656 | ND |
Addresses
Primary practice location
1206 Main St
Carrington, ND 58421-1902
Mailing address
1206 Main St
Carrington, ND 58421-1902
Phone (701) 645-1032
Other providers in Carrington, ND
All providers in Carrington, ND · Mental Health Clinic/Center (Including Community Mental Health Center) 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 May 22, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.