Active NPI
Unfiltered Counseling and Wellness, PLLC
Doing business as Unfiltered Counseling and Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
National Provider Identifier
1629951611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- UNFILTERED COUNSELING AND WELLNESS, PLLC
- Doing business as
- Unfiltered Counseling and Wellness
- Practice address
- 4024 53Rd Ave S #103
Fargo, ND 58104 - Phone
- (701) 936-3635
- Fax
- (701) 936-6408
- NPI assigned
- Jul 28, 2025
- Last updated
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaclyn Mae Martineau, LCSW
- Title
- Owner/Therapist
- Phone
- (952) 270-5872
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
4024 53Rd Ave S #103
Fargo, ND 58104
Mailing address
2013 7TH St N
Fargo, ND 58102-5003
Phone (952) 270-5872
Other names 1
- Unfiltered Counseling and Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Fargo, ND
- NPI 1548983471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1629951611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 7TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581025003",
"telephone_number": "952-270-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 53RD AVE S #103",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-936-3635",
"fax_number": "701-936-6408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNFILTERED COUNSELING AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "MARTINEAU",
"authorized_official_first_name": "JACLYN",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "952-270-5872",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Unfiltered Counseling and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.