Redeeming Grace Counseling PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REDEEMING GRACE COUNSELING PLLC

Practice address

1351 Page Dr S Ste 202
Fargo, ND 58103-3536

Phone

(701) 353-9979

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Lenore AndersonNPI 1942625983

Title

Owner

Phone

(701) 353-9979

Specialties & licenses 1

Addresses

Tax ID family

Redeeming Grace Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redeeming Grace Counseling PLLC

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1568930238
  NPD tax ID

Practitioners 1

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

• Jennifer Lenore Anderson, MSW, LICSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1942625983
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1518697192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-353-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-353-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING GRACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LENORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-353-9979"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red River Psychological Services, PLLC
• Red River Spine Associates, PC
• Red River Valley Health Care PC
• Gaddum P Reddy, MD
• Helen Reddy, PA
• Redeeming Grace Counseling PLLC
• Courtney Redman
• Bethany M Reecy, RN
• Bradley Dean Reed, ATC
• Brandon JJ Reed

• Addiction (Substance Use Disorder) Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.