Individual provider Active NPI

James William Guerrant, LMSW-CC

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1790034486
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5222 Issued in ND
Practice address
1535 42ND St S Ste 400
Fargo, ND 58103-3383
Phone
(701) 715-8567
Fax
(701) 540-0098
NPI assigned
Sep 10, 2012
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC14322 ME
Clinical Social Worker 1041C0700X 5222 ND Primary

Addresses

Primary practice location

1535 42ND St S Ste 400
Fargo, ND 58103-3383

Mailing address

1535 42ND St S
Ste 400
Fargo, ND 58103-3383
Phone (701) 715-8567

Other identifiers 1

IdentifierTypeStateIssuer
1790034486MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC14322MEMDMental Health Counselor
5222NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Counseling PLLC Clinical CurrentSince Oct 28, 2021 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical Past Accepting new patients

Locations

1321 23rd St S
Ste D
Fargo, ND 58103
Phone (701) 203-8725

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1790034486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 42ND ST S",
            "address_2": "STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033383",
            "telephone_number": "701-715-8567",
            "fax_number": "701-540-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 42ND ST S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033383",
            "telephone_number": "701-715-8567",
            "fax_number": "701-540-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRANT",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC14322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790034486",
            "state": "ME"
        }
    ],
    "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 Jan 26, 2022; 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.