Rebecca Martin
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1619795473 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1619795473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1635 43Rd St S Ste 105
Fargo, ND 58103-3579 - Phone
- (218) 287-4338
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebalance Behavioral Health, PLLC | Current |
Accepting new patients |
Locations
1655 43rd St S
Ste 205
Fargo, ND 58103
Phone (701) 793-0798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1635 43Rd St S Ste 105
Fargo, ND 58103-3579
Mailing address
1655 43Rd St S Ste 205
Fargo, ND 58103-3583
Phone (701) 793-0798
Other providers in Fargo, ND
- Adam Martin
- Bess J. Martin
- Christine Martin
- Crystal Lee Martin
- David John Martin
- Tori Martin
- Tracy J Martin
- Jaclyn Mae Martineau
- Brenda Ann Martinez
- Luzclarita Selke Martinez
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.