Kimberly K Fritel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

853-11-15-15-312 Issued in ND

Practice address

3210 18TH St S Ste B
Fargo, ND 58104-6789

Phone

(701) 205-7771

Fax

(701) 205-7771

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 13, 2024 through Aug 13, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lotus Counseling PC

  • Professional Counselor
  • Fargo, ND
  • NPI 1164093654
  NPD (past) Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1760808869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 18TH ST S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046789",
            "telephone_number": "701-205-7771",
            "fax_number": "701-205-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 18TH ST S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046789",
            "telephone_number": "701-205-7771",
            "fax_number": "701-205-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITEL",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "853-11-15-15-312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Ryan Friesen, DO
• Alexius Rae Friesz
• Cari L Frisk, AUD
• Matthew T Frisk, AU-D
• Jenny Kathryn Frissell, PHD
• Carlie L Froemke, LRD
• Carmel Froemke, BS
• Lisa Lynn Froemke, PA-C
• Lenae R Frolek, CRNA
• Desiree Froslie, NP

• Mental Health Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.