Organization Active NPI

Counseling Center Inc

  • Counselor
  • Fargo, ND
National Provider Identifier
1477698876
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
36511196111 Issued in ND
Legal business name
COUNSELING CENTER INC
Practice address
1111 Westrac Dr
Suite 204
Fargo, ND 58103-2384
Phone
(701) 232-2791
Fax
(701) 364-4090
NPI assigned
Feb 21, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Ms. Vickie A Wilhelm, MS LPCC
Title
Counselor Ms LPCC
Phone
(701) 232-2791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 36511196111 ND Primary

Addresses

Primary practice location

1111 Westrac Dr
Suite 204
Fargo, ND 58103-2384

Mailing address

1111 Westrac Dr
Suite 204
Fargo, ND 58103-2384
Phone (701) 232-2791

Other identifiers 2

IdentifierTypeStateIssuer
08N06C0OtherMNBCBS OF MN
WIL26947OtherNDBCBS OF ND

National Provider Directory

National Provider Directory

Locations

1111 Westrac Dr S
Ste 204
Fargo, ND 58103
Phone (701) 232-2791

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1477698876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WESTRAC DR",
            "address_2": "SUITE 204",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032384",
            "telephone_number": "701-232-2791",
            "fax_number": "701-364-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WESTRAC DR",
            "address_2": "SUITE 204",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032384",
            "telephone_number": "701-232-2791",
            "fax_number": "701-364-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR MS LPCC",
        "authorized_official_telephone_number": "701-232-2791",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "36511196111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "08N06C0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "WIL26947",
            "state": "ND"
        }
    ],
    "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 Jan 24, 2008; 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.