Active NPI
Thomas Kenneth Dubbels, M.S., LPC
- Mental Health Counselor
- Fargo, ND
National Provider Identifier
1740172550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 819-1-15-15
- Practice address
- 4357 13TH Ave S Ste 104
Fargo, ND 58103-7504 - Phone
- (701) 306-8369
- Fax
- (701) 450-0457
- NPI assigned
- Jul 16, 2025
- Last updated
- Jul 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 819-1-15-15 | ND | Primary |
Addresses
Primary practice location
4357 13TH Ave S Ste 104
Fargo, ND 58103-7504
Mailing address
1051 50TH Ave W
West Fargo, ND 58078-7213
Phone (701) 388-6194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Life Counseling, PLLC | Mental Health | Current | Accepting new patients |
Locations
4357 13th Ave S
Ste 104
Fargo, ND 58103
Phone (701) 306-8369
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fargo, ND
- NPI 1255924767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1740172550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 50TH AVE W",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787213",
"telephone_number": "701-388-6194",
"fax_number": "701-450-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4357 13TH AVE S STE 104",
"city": "FARGO",
"state": "ND",
"postal_code": "581037504",
"telephone_number": "701-306-8369",
"fax_number": "701-450-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBBELS",
"first_name": "THOMAS",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "819-1-15-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.