Organization Active NPI

Mindwell Behavioral Health

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1508664111
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Alex Roeder, LCSWNPI 1326437385
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.