Organization Active NPI

Beths Place LLC

  • Clinic/Center
  • Moorhead, MN
National Provider Identifier
1780168054
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BETHS PLACE LLC
Practice address
1606 30TH Ave S Ste 2
Moorhead, MN 56560-5147
Phone
(701) 936-1190
NPI assigned
Sep 21, 2018
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Cassie Kasowski, LADC
Title
Ladc/Owner
Phone
(701) 396-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1606 30TH Ave S Ste 2
Moorhead, MN 56560-5147

Mailing address

1606 30TH Ave S Ste 2
Moorhead, MN 56560-5147
Phone (701) 936-1190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1780168054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S STE 2",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-936-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 30TH AVE S STE 2",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605147",
            "telephone_number": "701-936-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHS PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "KASOWSKI",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "LADC/OWNER",
        "authorized_official_telephone_number": "701-396-1190",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.