Nancy Ann Exner, LPCC, LAC, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89719187 Issued in ND

Practice address

8980 38TH St SE
Jamestown, ND 58401-9709

Phone

(701) 252-8292

NPI assigned

Aug 21, 2006

Last updated

Aug 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1679689954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 38TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584019709",
            "telephone_number": "701-252-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 38TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584019709",
            "telephone_number": "701-252-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXNER",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "LPCC, LAC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1028",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "89719187",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER  LAC",
            "identifier": "009191",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER LPCC",
            "identifier": "018044",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalie Etherington, PH.D.
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• Daniel D Everson, LCAC
• Samantha Everson
• Lori Mae Evjen, LAC
• Face and Jaw Surgeons PC
• Allen Robert Falk
• Kara A Falk, NP
• Tammy Jo Falk
• Alison M Fallgatter, DDS, MS

• Professional Counselor in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.