Organization Active NPI

Groslie Counseling Services PC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
National Provider Identifier
1639767791
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GROSLIE COUNSELING SERVICES PC
Practice address
4160 24 Ave S
Ste 102
Fargo, ND 58104-9038
Phone
(701) 941-0175
Fax
(701) 941-3001
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dawn Groslie, LPCC
Title
Owner
Phone
(701) 941-0175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

4160 24 Ave S
Ste 102
Fargo, ND 58104-9038

Mailing address

4160 24 Ave S
Ste 102
Fargo, ND 58104-9038
Phone (701) 941-0175

Other identifiers 1

IdentifierTypeStateIssuer
1470330MedicaidND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1639767791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 24 AVE S",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 24 AVE S",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSLIE COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-03-29",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "GROSLIE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-941-0175",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470330",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.