Individual provider Active NPI

Anthony M Wentz, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Cando, ND
National Provider Identifier
1790447001
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1914 Issued in ND
Practice address
7448 68TH Ave. NE
Cando, ND 58324
Phone
(701) 968-4056
Fax
(701) 968-4456
NPI assigned
Oct 13, 2021
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1914 ND Primary
Social Worker 104100000X 6940 ND

Addresses

Primary practice location

7448 68TH Ave. NE
Cando, ND 58324

Mailing address

413 4TH St NE Ste 1
Devils Lake, ND 58301-2542
Phone (701) 665-3263

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6940NDMDSocial Worker
1914NDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Counseling Addiction (Substance Use Disorder) CurrentSince Jun 15, 2025 Accepting new patients
Sara Kelner LPCC Lmac PLLC Addiction (Substance Use Disorder) PastSince Jun 15, 2025 Accepting new patients

Locations

413 4th St NE
Ste 1
Devils Lake, ND 58301
Phone (701) 665-3263

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1790447001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 4TH ST NE STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012542",
            "telephone_number": "701-665-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 68TH AVE. NE",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "58324",
            "telephone_number": "701-968-4056",
            "fax_number": "701-968-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1914",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cando, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.