Individual provider Active NPI

Alana Johnston

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1740714161
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4257 Issued in ND
Practice address
2300 Library Cir
Grand Forks, ND 58201-6328
Phone
(701) 330-2071
Fax
(701) 772-1763
NPI assigned
Apr 12, 2017
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4257 ND
Clinical Social Worker 1041C0700X 4257 ND Primary

Addresses

Primary practice location

2300 Library Cir
Grand Forks, ND 58201-6328

Mailing address

2300 Library Cir
Grand Forks, ND 58201-6328
Phone (701) 330-2071

Other names 1

  • Alana Reilly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427001577 ND Practitioner - Clinical Social Worker 4082001755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Demers Ave
Suite 303
Grand Forks, ND 58201-4599
Phone (701) 757-0292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4257NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lacy M. Suby, PLLC Clinical CurrentSince Sep 28, 2021 Accepting new patients
A Johnston Therapy, PLLC Clinical CurrentSince Sep 17, 2024 Accepting new patients
Grand Forks County Social Services Past Accepting new patients
Village Family Service Center PastSince Jan 1, 2020 Accepting new patients

Locations

2300 Library Cir
Grand Forks, ND 58201
Phone (701) 330-2071

600 Demers Ave
Ste 303
Grand Forks, ND 58201
Phone (701) 746-9743

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1740714161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LIBRARY CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016328",
            "telephone_number": "701-330-2071",
            "fax_number": "701-772-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LIBRARY CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016328",
            "telephone_number": "701-330-2071",
            "fax_number": "701-772-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANA",
            "last_name": "REILLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.