Andrea Rognlien, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

988-2-1-19 Issued in ND

Practice address

4610 Amber Valley Pkwy S Ste F
Fargo, ND 58104-8621

Phone

(701) 551-1840

Fax

(701) 551-1859

NPI assigned

Jun 12, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Hanson Former name

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Becoming Balanced PCGroup PAC ID 3072845411, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Becoming Balanced PC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1285196303
  Medicare reassignment Care Compare group NPD
• Ace Sports Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1326984998
  NPD Authorized official
• Nuvation Health Services P.C.

  • Counselor
  • Bismarck, ND
  • NPI 1982754552
  NPD
• Village Family Service Center

  dba The Village Family Service Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1568492353

  Professional

  NPD (past)
• Village Family Service Center

  dba The Village Family Service Center

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1952679318
  NPD (past)

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1568030062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 AMBER VALLEY PKWY S STE F",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048621",
            "telephone_number": "701-551-1840",
            "fax_number": "701-551-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 AMBER VALLEY PKWY S STE F",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048621",
            "telephone_number": "701-551-1840",
            "fax_number": "701-551-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGNLIEN",
        "first_name": "ANDREA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "988-2-1-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HANSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Roethel, RD
• Kathleen Marjorie Rogan, FNP-C
• Ashley N Rogers, AUD
• Keith Rogers Jr.
• Jordyn Roggenkamp, LPCC
• Michael J Rognlien, PA
• Amanda Rognlin, LPN
• Richard A Rohla, MD
• Katelyn Mae Rohr, LAT, ATC
• Nicole Rohrbeck, PHARM D

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.