John Gerard Altendorf, MED LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

347319655 Issued in ND

Practice address

1351 Page Dr S Ste 100
Fargo, ND 58103-3536

Phone

(701) 412-7345

Fax

(701) 478-4044

NPI assigned

Sep 7, 2006

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Altendorf Counseling

  dba Altendorf Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1336702687
  NPD Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1801999461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-412-7345",
            "fax_number": "701-478-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "701-412-7345",
            "fax_number": "701-478-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENDORF",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "MED LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "347319655",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "ND",
            "license": "347319655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusto M Alonto, M.D.
• Lorena Ann Alonzo
• Waseem Altaf, MD
• Altaire Clinic PLLC
• Altendorf Counseling (Altendorf Counseling Center)
• Kelsey Altendorf, LMSW
• Althoff Dental, PC (Southpointe Dental)
• Alexander J Althoff, DDS
• Jessica Marie Althoff, RN
• Susan Althoff, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.