NPIMap

Organization Active NPI

Drake Counseling Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Moorhead, MN
National Provider Identifier
1609054154
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DRAKE COUNSELING SERVICES
Practice address
919 8 Ave N
Moorhead, MN 56561
Phone
(701) 293-5429
Fax
(701) 293-0736
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Ms. Teri Vareberg
Title
Administrative Director
Phone
(701) 293-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

919 8 Ave N
Moorhead, MN 56561

Mailing address

1202 23 St S
Fargo, ND 58103
Phone (701) 293-5429

Other identifiers 1

IdentifierTypeStateIssuer
3002MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Drake Counseling Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1609054154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 23 ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-293-5429",
            "fax_number": "701-293-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 8 AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56561",
            "telephone_number": "701-293-5429",
            "fax_number": "701-293-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "VAREBERG",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "701-293-5429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.