Advocates for Change
Organization Active NPI Community/Behavioral Health Agency · Fargo, ND
NPI 1831965748 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1831965748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVOCATES FOR CHANGE
- Practice address
- 417 Main Ave Ste 401
Fargo, ND 58103-1956 - Phone
- (701) 289-7676
- NPI assigned
- Dec 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Joshua Landis, LBSW
- Title
- Founder
- Phone
- (701) 289-7676
Practitioners 27
-
Monica R Schneider, MSW
-
Allie Catherine Skjonsberg, MSW, LICSW
-
Emily Dunlap Bitz, LBSW
-
Jay Christopher Durgin, LADC
-
Joshua Landis, LBSW
-
Heidi Selzler-Echola, APRN
-
Leslie M Uecker, LBSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240524001303 | ND | Part B Supplier - Clinic/Group Practice | 2466894266 |
Receives reassigned benefits from 3 practitioners Practice locations: Fargo, ND |
National Provider Directory
Locations
417 Main Ave
Ste 401
Fargo, ND 58103
Phone (701) 289-7676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
417 Main Ave Ste 401
Fargo, ND 58103-1956
Mailing address
417 Main Ave Ste 401
Fargo, ND 58103-1956
Phone (701) 289-7676
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All providers in Fargo, ND · Community/Behavioral Health Agency 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 Apr 8, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.