Ray of Hope Counselong Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1651 Issued in ND

Legal business name

RAY OF HOPE COUNSELONG SERVICES

Practice address

3140 Blue Stem Dr
#405
West Fargo, ND 58078-8009

Phone

(701) 793-7692

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By 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

Wanda Lynn Crowe, LAC, LADC

Title

Clinical Supervisoe

Phone

(701) 793-7692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1609227180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BLUE STEM DR",
            "address_2": "#405",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788009",
            "telephone_number": "701-793-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BLUE STEM DR",
            "address_2": "#405",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788009",
            "telephone_number": "701-793-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF HOPE COUNSELONG SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOE",
        "authorized_official_telephone_number": "701-793-7692",
        "authorized_official_credential": "LAC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.