Organization Active NPI

Moe Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Fargo, ND
National Provider Identifier
1730926601
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOE THERAPY SERVICES LLC
Practice address
2920 Sheyenne St Ste 107
West Fargo, ND 58078-6002
Phone
(312) 533-1685
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Jamie Moe, LPCCNPI 1609354141
Title
Owner
Phone
(312) 533-1685

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2920 Sheyenne St Ste 107
West Fargo, ND 58078-6002

Mailing address

7079 14TH St S
Fargo, ND 58104-7571
Phone (312) 533-1685

National Provider Directory

National Provider Directory

Locations

2920 Sheyenne St
Ste 107
West Fargo, ND 58078
Phone (312) 533-1685

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1730926601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7079 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047571",
            "telephone_number": "312-533-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SHEYENNE ST STE 107",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580786002",
            "telephone_number": "312-533-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-533-1685",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.