Innova Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNOVA COUNSELING SERVICES PLLC

Practice address

2632 47TH St S Ste 102
Fargo, ND 58104-8571

Phone

(701) 893-8068

Fax

(701) 425-0419

NPI assigned

Dec 21, 2023

Last updated

Oct 13, 2026By 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

Alissa L DecoteauNPI 1841589561

Title

Owner, LCSW

Phone

(701) 893-8068

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Alissa L Decoteau, LICSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1841589561
  NPD (past) Authorized official
• Anna Stasia Charboneau

  • Social Worker
  • West Fargo, ND
  • NPI 1053050310
  NPD

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1649049412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 47TH ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048571",
            "telephone_number": "701-893-8068",
            "fax_number": "701-425-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 47TH ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048571",
            "telephone_number": "701-893-8068",
            "fax_number": "701-425-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "DECOTEAU",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "701-893-8068"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 13, 2026; 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.