Knudson Bauer Counseling, PLLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

767-12-15-13-274 Issued in ND

Legal business name

KNUDSON BAUER COUNSELING, PLLP

Practice address

1407 24TH Ave S
Suite #203
Grand Forks, ND 58201-6761

Phone

(701) 765-3228

Fax

(134) 741-2887

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Mary Knudson, LPCC

Title

Business Owner/Counselor

Phone

(701) 885-1080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1679015689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "address_2": "SUITE #203",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-765-3228",
            "fax_number": "134-741-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "address_2": "SUITE #203",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-765-3228",
            "fax_number": "134-741-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUDSON BAUER COUNSELING, PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS OWNER/COUNSELOR",
        "authorized_official_telephone_number": "701-885-1080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "767-12-15-13-274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolaine A. Knain
• Kristin Renee Knott, PT
• Bethany Ann Knox, PA-C
• Souraya Knox
• Young-Ah Knudsen, PHARMD
• Sandra L Knudson, PT
• Tammy Knudson
• Theresa Knudson
• Amy Lynn Knutson Shimek, FNP-C
• Bonita Mae Knutson

• Mental Health Counselor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.