Active NPI
Lena Fogel
- Professional Counselor
- Fargo, ND
National Provider Identifier
1750982120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1090-10-1-20A
- Practice address
- 2624 9TH Ave S
Fargo, ND 58103-2350 - Phone
- (701) 298-4500
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1090-10-1-20A | ND | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
2624 9TH Ave S
Fargo, ND 58103-2350
Mailing address
2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
280 Merrimack St
Suite 600
Lawrence, MA 01843-1716
6600 France Ave S
Suite 350
Edina, MN 55435-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Professional | Current | Accepting new patients |
Locations
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
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.
-
dba Pediatric Partners
- Occupational Therapist
- Thief River Falls, MN
- NPI 1457479958
ND, Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1750982120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 9TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032350",
"telephone_number": "701-298-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 9TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032350",
"telephone_number": "701-298-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGEL",
"first_name": "LENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1090-10-1-20A",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.