Organization Active NPI

Country Counseling & Consulting, Inc

  • Community/Behavioral Health Agency
  • Devils Lake, ND
National Provider Identifier
1487824587
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
23613700 Issued in ND
Legal business name
COUNTRY COUNSELING & CONSULTING, INC
Practice address
400 12TH Ave NE
Devils Lake, ND 58301-2712
Phone
(701) 665-5433
NPI assigned
Mar 4, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Deborah L Hanson, LICSW
Title
President
Phone
(701) 665-5433

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 23613700 ND Primary

Addresses

NPPES NPI Registry

Primary practice location

400 12TH Ave NE
Devils Lake, ND 58301-2712

Mailing address

400 12TH Ave NE
Devils Lake, ND 58301-2712

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
19186MedicaidND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2008.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1487824587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH AVE NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH AVE NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012712",
            "telephone_number": "701-665-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY COUNSELING & CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-665-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "23613700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19186",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.