Individual provider Active NPI

Kristi Ventzke, LMFT

  • Marriage & Family Therapist
  • Grand Forks, ND
National Provider Identifier
1760710016
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2010-036 Issued in ND
Practice address
1726 S Washington St Ste 33a
Grand Forks, ND 58201-6395
Phone
(701) 746-4584
Fax
(701) 746-1239
NPI assigned
Nov 25, 2009
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1854 MN
Marriage & Family Therapist 106H00000X 2010-036 ND Primary

Addresses

Primary practice location

1726 S Washington St Ste 33a
Grand Forks, ND 58201-6395

Mailing address

1726 S Washington St Ste 33a
Grand Forks, ND 58201-6395
Phone (701) 746-4584

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
I20240122002418 ND Practitioner - Marriage and Family Therapist 5395197776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Family Service CenterGroup PAC ID 7517857428, 27 clinicians

Practice addresses (Care Compare)

4324 University Ave
Suite B
Grand Forks, ND 58203-1938
Phone (701) 746-4584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010-036NDMDMarriage & Family Therapist
1854MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Village Family Service Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

1726 S Washington St
Ste 33A
Grand Forks, ND 58201
Phone (701) 746-4584

4324 University Ave
Ste B
Grand Forks, ND 58203
Phone (701) 746-4584

20 1st St SW
Ste 250
Minot, ND 58701
Phone (701) 852-3328

Organizations & group practices 2

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1760710016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST STE 33A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016395",
            "telephone_number": "701-746-4584",
            "fax_number": "701-746-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST STE 33A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016395",
            "telephone_number": "701-746-4584",
            "fax_number": "701-746-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTZKE",
        "first_name": "KRISTI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1854",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2010-036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.