Organization Active NPI

Katie Allen Therapy Services, PLLC

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1669104865
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATIE ALLEN THERAPY SERVICES, PLLC
Practice address
749 S 30TH St Apt 16
Grand Forks, ND 58201-4082
Phone
(701) 535-0159
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Katie Marie AllenNPI 1720435175
Title
Psychotherapist/Owner
Phone
(701) 314-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

749 S 30TH St Apt 16
Grand Forks, ND 58201-4082

Mailing address

749 S 30TH St Apt 16
Grand Forks, ND 58201-4082
Phone (701) 314-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023000791 ND Part B Supplier - Clinic/Group Practice 9537542923 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

749 S 30th St
Apt 16
Grand Forks, ND 58201
Phone (701) 314-2300

4200 James Ray Dr
Ste 304
Grand Forks, ND 58202
Phone (701) 314-2300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1669104865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST APT 16",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014082",
            "telephone_number": "701-314-2300",
            "fax_number": "701-291-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST APT 16",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014082",
            "telephone_number": "701-535-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE ALLEN THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "701-314-2300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.