Individual provider Active NPI

Nicole Marie Badar, LGSW, LMSW

  • Social Worker
  • Fargo, ND
National Provider Identifier
1609401769
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5092 Issued in ND
Practice address
1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone
(701) 203-8725
NPI assigned
Mar 10, 2020
Last updated
Mar 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23275 MN
Social Worker 104100000X 5092 ND Primary

Addresses

Primary practice location

1321 23Rd St S Ste D
Fargo, ND 58103-3724

Mailing address

1321 23Rd St S Ste D
Fargo, ND 58103-3724
Phone (701) 203-8725

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.solacecounselingfargo.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210331001971 ND Practitioner - Clinical Social Worker 2668889049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Counseling PLLCGroup PAC ID 1254759681, 5 clinicians

Practice addresses (Care Compare)

1131 Westrac Dr S
Suite 100
Fargo, ND 58103-2374
Phone (701) 232-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5092NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Spirit Counseling, PLLC Clinical CurrentSince Mar 22, 2020 Accepting new patients
Solace Counseling PLLC Clinical CurrentSince Feb 9, 2021 Accepting new patients

Locations

1131 Westrac Dr S
Ste 100
Fargo, ND 58103
Phone (701) 203-8725

1131 Westrac Dr S
Ste 107
Fargo, ND 58103
Phone (701) 203-8725

1321 23rd St S
Ste D
Fargo, ND 58103
Phone (701) 203-8725

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1609401769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033724",
            "telephone_number": "701-203-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAR",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LGSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "23275",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.solacecounselingfargo.com",
            "affiliation": "N",
            "endpointDescription": "Business web site",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1321 23rd St S Ste D",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581033724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.