Debra K Deminck, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

271903 Issued in MN

Practice address

3105 Elm St N
Fargo, ND 58102-1740

Phone

(701) 293-6762

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Debra K Gehrig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Solace Counseling PLLC

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1235799842
  NPD

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1588974018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021740",
            "telephone_number": "701-293-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021740",
            "telephone_number": "701-293-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMINCK",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "271903",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "4777102195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GEHRIG",
            "middle_name": "K",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Marie Delage, CNP
• Sara L Delaney, MS, CFY-SLP
• Elizabell Delgado
• Paula I. Delgado, PH.D.
• Heather Demers, RN
• Xiaoying Deng, MD
• Daphne Watkins Denham, M.D.
• Jacob Edward Denkins, PHARMD
• Ryan Evan Dennehy, DPT
• Faithjoy Dennis

• 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 Oct 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.