Organization Active NPI

Bestow Counseling

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1457062226
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BESTOW COUNSELING
Practice address
1330 Page Dr S Ste 101
Fargo, ND 58103-3551
Phone
(612) 214-7450
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Debbie Svobodny, LCSWNPI 1427576230
Title
Owner
Phone
(612) 214-7450

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1330 Page Dr S Ste 101
Fargo, ND 58103-3551

Mailing address

1330 Page Dr S Ste 101
Fargo, ND 58103-3551
Phone (612) 214-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814001476 ND Part B Supplier - Clinic/Group Practice 5395283998 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

1330 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 300-8879

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1457062226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "612-214-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "612-214-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTOW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "SVOBODNY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-214-7450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.