Active NPI
Mindwell Behavioral Health
- Clinical Social Worker
- Fargo, ND
National Provider Identifier
1508664111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDWELL BEHAVIORAL HEALTH
- Practice address
- 3285 Fiechtner Dr S
Fargo, ND 58103-2488 - Phone
- (651) 485-9373
- NPI assigned
- Mar 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Roeder, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (701) 361-8273
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3285 Fiechtner Dr S
Fargo, ND 58103-2488
Mailing address
3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490
Phone (701) 361-8273
National Provider Directory
National Provider DirectoryLocations
3285 Fiechtner Dr S
Fargo, ND 58103
Phone (651) 485-9373
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fargo, ND
- NPI 1326437385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1508664111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 FIECHTNER DR S STE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581032490",
"telephone_number": "701-361-8273",
"fax_number": "701-301-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 FIECHTNER DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032488",
"telephone_number": "651-485-9373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDWELL BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-07",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "ROEDER",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "701-361-8273",
"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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.