Individual provider Active NPI

Mandy Jo Hofland, LAC

  • Mental Health Counselor
  • Moorhead, MN
National Provider Identifier
1467937573
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1329-10-1-23-566 Issued in ND
Practice address
725 Center Ave Ste 3
Moorhead, MN 56560-1972
Phone
(218) 366-6162
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1832 ND
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1329-10-1-23-566 ND Primary

Addresses

Primary practice location

725 Center Ave Ste 3
Moorhead, MN 56560-1972

Mailing address

725 Center Ave Ste 3
Moorhead, MN 56560-1972
Phone (218) 366-6162

Other names 1

  • Mandy Jo Herrmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918002349 ND Practitioner - Mental Health Counselor 0648774026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Human Service CenterGroup PAC ID 8527027556, 29 clinicians

Practice addresses (Care Compare)

2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Behavioral Health Clinic CurrentSince Jul 6, 2025 Accepting new patients

Locations

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1467937573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CENTER AVE STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601972",
            "telephone_number": "218-366-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CENTER AVE STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601972",
            "telephone_number": "218-366-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFLAND",
        "first_name": "MANDY",
        "middle_name": "JO",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1832",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1329-10-1-23-566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "HERRMANN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.