Redeeming Grace Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REDEEMING GRACE COUNSELING PLLC

Doing business as

Redeeming Grace Counseling

Practice address

1351 Page Dr S
Fargo, ND 58103-3502

Phone

(701) 353-9979

Fax

(701) 639-6501

NPI assigned

Nov 11, 2018

Last updated

Jul 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lenore Anderson, MSW, LICSWNPI 1942625983

Title

President

Phone

(701) 353-9979

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Redeeming Grace Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

  • Addiction (Substance Use Disorder) Counselor
  • Fargo, ND
  • NPI 1518697192
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lenore Anderson, MSW, LICSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1942625983
  Medicare reassignment Care Compare group NPD Authorized official
• Amy M Fox, LPC, NCC

  • Professional Counselor
  • Fargo, ND
  • NPI 1407187982
  Medicare reassignment Care Compare group NPD
• Ellen Marie Nelson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
  • NPI 1871346916
  Medicare reassignment Care Compare group NPD
• Taylor Wieler, LAPC

  • Mental Health Counselor
  • Fargo, ND
  • NPI 1477340842
  NPD
• Andrew Quinn Meyer

  • Counselor
  • Fargo, ND
  • NPI 1922928506
  NPD (past)

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1568930238",
    "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",
            "fax_number": "701-639-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033502",
            "telephone_number": "701-353-9979",
            "fax_number": "701-639-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING GRACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LENORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-353-9979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12696273",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N711952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942625983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19344",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeeming Grace Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redeeming Grace Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.