Individual provider Active NPI

Felix Esequiel Caballero, LMHC

  • Professional Counselor
  • Grand Forks, ND
National Provider Identifier
1619201092
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
211 S 4TH St
Grand Forks, ND 58201-4737
Phone
(701) 746-0405
Fax
(701) 746-5918
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 S 4TH St
Grand Forks, ND 58201-4737

4675 40TH Ave S
Suite 110
Fargo, ND 58104-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Violence Intervention Center Inc CurrentSince Oct 3, 2025 Accepting new patients

Locations

211 S 4th St
Grand Forks, ND 58201
Phone (701) 215-6773

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

211 S 4TH St
Grand Forks, ND 58201-4737

Mailing address

211 S 4TH St
Grand Forks, ND 58201-4737
Phone (701) 746-0405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2023.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1619201092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014737",
            "telephone_number": "701-746-0405",
            "fax_number": "701-746-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014737",
            "telephone_number": "701-746-0405",
            "fax_number": "701-746-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "FELIX",
        "middle_name": "ESEQUIEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.