Sophie Wamre, LPCC
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1831962430 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1831962430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1317-8-1-23-582 (ND)
- Practice address
- 5354 42ND St S Ste B
Fargo, ND 58104-4032 - Phone
- (701) 501-8014
- Fax
- (701) 941-4504
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates Counseling Wi SC
Practice addresses (Care Compare)
5354 42ND St S
Suite B
Fargo, ND 58104-4032
Phone (701) 941-4503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260406001486 | ND | Practitioner - Mental Health Counselor | 4486129665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3043 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates Counseling Wi., S.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1317-8-1-23-582 | ND | |
| Mental Health Counselor | 101YM0800X | 3043 | MN | |
| Professional Counselor | 101YP2500X | 1317-8-1-23-582 | ND | Yes |
Addresses
Primary practice location
5354 42ND St S Ste B
Fargo, ND 58104-4032
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
Other providers in Fargo, ND
- Corey Walther
- Kylie Melissa Walthers
- Walton Chiropractic Clinic P.C.
- Stephen C Walton
- Molly Wambach
- Destany L Wanden
- Derek Zhou Wang
- Ashley Wangerin
- Caroline Wangui
- Allison Wanner
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.