Maven Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAVEN COUNSELING PLLC

Practice address

3369 39TH St S Ste 3
Fargo, ND 58104-7542

Phone

(701) 367-0057

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Denise Leeby

Title

Owner

Phone

(701) 367-0057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1740908722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 39TH ST S STE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 39TH ST S STE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047542",
            "telephone_number": "701-367-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "LEEBY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-367-0057"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Matzke
• Rachel Mauch, CRNA
• Clifford T Mauriello, MD
• Thomas W Mausbach, MD
• Lindsay N Mausolf, M.S.
• Maxime & Co.
• Susan Michelle Maxwell, CRNA
• Alyson Kay May, MS
• Christian M May
• Coleen R May, MSW

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.