SJM Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SJM COUNSELING PLLC

Practice address

6046 14TH St S
Fargo, ND 58104-7340

Phone

(701) 404-0997

Fax

(701) 566-8876

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Mestery, LICSWNPI 1770936254

Title

President

Phone

(701) 205-5647

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Joy Mestery, LICSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1770936254
  Medicare reassignment NPD Authorized official
• Beret Huck, LPCC

  • Professional Counselor
  • Fargo, ND
  • NPI 1750150181
  Medicare reassignment NPD
• Alexis Smith, OT

  • Occupational Therapist
  • Fargo, ND
  • NPI 1346117868
  Medicare reassignment NPD
• Valerie Stevenson

  • Occupational Therapist
  • Fargo, ND
  • NPI 1124359922
  Medicare reassignment NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1639760937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047340",
            "telephone_number": "701-205-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047340",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MESTERY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-205-5647",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters of Mary of the Presentation Long-Term Care
• Rachel Sitte
• Shannon Marie Sitz, MS, CCC-SLP
• Beau Sizer, PHARM D
• Courtney Nicole Sizer
• Brittany Anne Sjolie
• Nina C Sjoquist, NP
• Sophia Marie Skadberg, RN, BSN
• Tanya Skager, MD
• Cassie J. Skalicky

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.