Active NPI
Catherine Agnes Hjelle, LPCC LICSW
- Mental Health Counselor
- Fargo, ND
National Provider Identifier
1528115052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3881219779
- Practice address
- 3401 45TH St S Ste a
Fargo, ND 58104-8970 - Phone
- (701) 356-4384
- Fax
- (701) 356-4383
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 06714 | MN | |
| Mental Health Counselor | 101YM0800X | 3881219779 | ND | Primary |
Addresses
Primary practice location
3401 45TH St S Ste a
Fargo, ND 58104-8970
Mailing address
3401 45TH St S Ste a
Fargo, ND 58104-8970
Phone (701) 356-4384
Other practice location 1
1445 1st Ave North
Fargo, ND 58102-4023
Phone (701) 238-2938
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082217500 | Medicaid | MN | |
| 07N62HJ | Other | BLUE CROSS OF MN | |
| 27082 | Other | BLUE CROSS OF ND | |
| 6258618 | Other | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06714 | MN | MD | Mental Health Counselor |
| 3881219779 | ND | MD | Mental Health Counselor |
| 6174 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current | Accepting new patients | |
| Lakeland Mental Health Center | Past | Accepting new patients |
Locations
3401 45th St S
#A
Fargo, ND 58104
Phone (701) 356-4384
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pediatric Partners
- Occupational Therapist
- Thief River Falls, MN
- NPI 1457479958
-
- Case Manager/Care Coordinator
- Fergus Falls, MN
- NPI 1972950962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528115052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 45TH ST S STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581048970",
"telephone_number": "701-356-4384",
"fax_number": "701-356-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 45TH ST S STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581048970",
"telephone_number": "701-356-4384",
"fax_number": "701-356-4383"
}
],
"practiceLocations": [
{
"address_1": "1445 1st Ave North",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581024023",
"country_code": "US",
"telephone_number": "701-238-2938",
"fax_number": "701-298-3497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HJELLE",
"first_name": "CATHERINE",
"middle_name": "AGNES",
"name_prefix": "Ms.",
"credential": "LPCC LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "06714",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "3881219779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082217500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MN",
"identifier": "07N62HJ",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ND",
"identifier": "27082",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6258618",
"state": null
}
],
"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 Jul 21, 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.