Peoples Rising Academy

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PEOPLES RISING ACADEMY

Practice address

1383 21St Ave N
Fargo, ND 58102-1841

Phone

(701) 541-0875

NPI assigned

Dec 3, 2021

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi PlecityNPI 1174281489

Title

Director

Phone

(701) 541-0875

Specialties & licenses 7

Addresses

Locations

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.

• Jodi Plecity

  • Health & Wellness Coach
  • Fargo, ND
  • NPI 1174281489
  NPD Authorized official

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1639837941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 63RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044502",
            "telephone_number": "701-541-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021841",
            "telephone_number": "701-541-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4779 63rd St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044502",
            "country_code": "US",
            "telephone_number": "701-541-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEOPLES RISING ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-01-27",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "PLECITY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-541-0875"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn I Peloubet, RN, LSW
• Janel Vonia Pender, CRNA
• Hong Qi Peng, M.D.
• Curtis W. Penney, D.O.
• Richard Monroe Penney, M.D.
• Rebecca Pepera, LBSW
• Elizabeth Kay Perdue
• Boris M Perencevic, MD
• Jennifer Danette Perez Andrade
• Heather J Perez

• Mental Illness Community Based Residential Treatment Facility in Fargo, ND
• Providers in Fargo, ND by specialty
• Mental Illness Community Based Residential Treatment Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.