Jessica Kriel, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1660 Issued in ND

Practice address

505 40TH St S Unit B
Fargo, ND 58103-1184

Phone

(701) 478-9535

Fax

(701) 365-0021

NPI assigned

Jan 24, 2012

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

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.

• Sharehouse Genesis

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1356576979
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1780955641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 40TH ST S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031184",
            "telephone_number": "701-478-9535",
            "fax_number": "701-365-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 40TH ST S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031184",
            "telephone_number": "701-478-9535",
            "fax_number": "701-365-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEL",
        "first_name": "JESSICA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Barbara Kay Krecklau, LMSW, LGSW
• Sierra Brooke Kreft, PHARMD, BCPS
• Karol Z Kremens, M.D.
• Randy L Kremer, CRNA
• Nicole M Kressin, MA
• Jolyssa Kringen
• Gabriel Jack Kringlen, MS, LGC
• Cassandra L Kringlie, PA
• Jennifer L Kringlie, NP
• Krislea Wegner PHD

• All providers in Fargo, ND
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.