Teva Jo Lange, LCAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1640 Issued in ND

Practice address

1209 5TH Ave SE Ste 17
Jamestown, ND 58401-5601

Phone

(601) 202-1007

NPI assigned

Sep 3, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1619886793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 5TH AVE SE STE 17",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015601",
            "telephone_number": "601-202-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 5TH AVE SE STE 17",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015601",
            "telephone_number": "601-202-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "TEVA",
        "middle_name": "JO",
        "credential": "LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lafavor, FNP
• Justin Lafferty, ATC
• Camden Lambert, MATRG, LAT, ATC
• Kaylee M Lang, MS,OTR/L
• Mitchell Jay Lang
• Jay Laporte, SLPLA
• Raymond Lloyd Larsen, M.D.
• Brandy Larson
• Rachel Nicole Larson, PT, DPT
• Sharon Ann Laxdal, NP

• Addiction (Substance Use Disorder) Counselor in Jamestown, ND
• Providers in Jamestown, ND by specialty
• 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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.