Moorhead Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOORHEAD COUNSELING PLLC

Practice address

1500 30TH Ave S Ste C
Moorhead, MN 56560-5146

Phone

(218) 451-3614

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Natasha BrasethNPI 1477740918

Title

Owner

Phone

(218) 451-3614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Natasha Deett Braseth, LICSW

  • Clinical Social Worker
  • Moorhead, MN
  • NPI 1477740918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1679110969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 30TH AVE S STE C",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 30TH AVE S STE C",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605146",
            "telephone_number": "218-451-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORHEAD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "BRASETH",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-451-3614"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iqra Mohamed
• Hodan Mohomed
• John A. Molstre, PH.D.
• Clarissa Moore, SLP
• Trinity Moore
• Moorhead Operations LLC
• Morlock Chiropractic Center
• Morlock Chiropractic Center LTD
• Gregg Morlock, D.C.
• Katie Marie Morris, LPCC

• Clinical Social Worker in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.