Organization Active NPI

Therapy by Joann, PLLC

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1679140685
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY BY JOANN, PLLC
Practice address
4399 S Columbia Rd Ste 104
Grand Forks, ND 58201-2833
Phone
(701) 738-9245
Fax
(701) 335-7101
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Joann Olson, LCSWNPI 1316039746
Title
Owner
Phone
(701) 740-4387

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

4399 S Columbia Rd Ste 104
Grand Forks, ND 58201-2833

Mailing address

PO Box 14422
Grand Forks, ND 58208-4422
Phone (701) 738-9245

Other practice location 1

3537 16th Ave NE
Arvilla, ND 58214-9406
Phone (701) 738-9245

National Provider Directory

National Provider Directory

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1679140685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14422",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582084422",
            "telephone_number": "701-738-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 S COLUMBIA RD STE 104",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582012833",
            "telephone_number": "701-738-9245",
            "fax_number": "701-335-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 16th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Arvilla",
            "state": "ND",
            "postal_code": "582149406",
            "country_code": "US",
            "telephone_number": "701-738-9245",
            "fax_number": "701-335-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY BY JOANN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-740-4387",
        "authorized_official_credential": "LCSW"
    },
    "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 Jun 8, 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.