JDL Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JDL COUNSELING LLC

Practice address

1128 Westrac Dr S
Fargo, ND 58103-8729

Phone

(701) 490-6812

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Julie LarsonNPI 1932365806

Title

Owner

Phone

(701) 490-6812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie D Larson, MSW., LGSW

  • Social Worker
  • Fargo, ND
  • NPI 1932365806
  Medicare reassignment Care Compare group NPD Authorized official
• Brian John Martin, LICSW

  • Clinical Social Worker
  • Moorhead, MN
  • NPI 1043554207

  ND

  Medicare reassignment Care Compare group NPD
• Lisa Ann Mastel, LPC

  • Professional Counselor
  • Fargo, ND
  • NPI 1013934652
  NPD
• Lisa K Rorvig, MSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1821277328
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1861003089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WESTRAC DR S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038729",
            "telephone_number": "701-490-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 WESTRAC DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038729",
            "telephone_number": "701-490-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-490-6812"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole L Jefferson, PT, DPT
• Jason Robert Jeffress, MD
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• Mental Health Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.