NPIMap

Organization Active NPI

Anne Carlsen Center

  • Community/Behavioral Health Agency
  • Jamestown, ND
National Provider Identifier
1659966877
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANNE CARLSEN CENTER
Practice address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone
(800) 568-5175
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Kristin D Syverson
Title
Cfo
Phone
(701) 269-8166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

701 3Rd St NW
Jamestown, ND 58401-2963

Mailing address

701 3Rd St NW
Jamestown, ND 58401-2963

Other practice location 1

1929 N Washington St Ste Gg
Bismarck, ND 58501-1669
Phone (701) 751-3732

Other practice location 2

2016 S Washington St
Grand Forks, ND 58201-6342
Phone (701) 757-4200

Other practice location 3

2800 Main Ave
Fargo, ND 58103-6818
Phone (701) 364-2663

National Provider Directory

National Provider Directory
Tax ID family
Anne Center for Children10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1929 N Washington St
Ste Gg
Bismarck, ND 58501
Phone (701) 751-2315

2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1659966877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "800-568-5175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1929 N Washington St Ste Gg",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585011669",
            "country_code": "US",
            "telephone_number": "701-751-3732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016342",
            "country_code": "US",
            "telephone_number": "701-757-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036818",
            "country_code": "US",
            "telephone_number": "701-364-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNE CARLSEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SYVERSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-269-8166"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.