No 1 Ladies Advocacy Agency

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NO 1 LADIES ADVOCACY AGENCY

Practice address

516 Beltrami Ave NW
Bemidji, MN 56601-3010

Phone

(218) 760-7889

Fax

(888) 375-3627

NPI assigned

May 28, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kerry Ann Hicks, MSW, LGSWNPI 1992371132

Title

Executive Director

Phone

(218) 760-7889

Specialties & licenses 1

Addresses

Other names 1

• Advocates of the Bemidji Area Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Kerry Ann Hicks, MSW, LICSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1992371132

  MN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1861068009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013010",
            "telephone_number": "218-760-7889",
            "fax_number": "888-375-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013010",
            "telephone_number": "218-760-7889",
            "fax_number": "888-375-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO 1 LADIES ADVOCACY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-760-7889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LGSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocates of the Bemidji Area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabbriele Nibbe, SLP
• Nicolle R Nichols
• Natalie M. Nicholson, NP
• Matthew John Nielsen, M.D.
• Paul Daniel Nistler, BS
• Susan Carol Nokleby, RN, MS, LSN
• Marty L. Nolte, R.D.
• Margaret Nordquist, CHW CERTIFICATE
• North Country Dental Service
• North Country Health Services

• All providers in Bemidji, MN
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.