Organization Active NPI

Ness Counseling P.L.L.C.

  • Clinical Social Worker
  • Breckenridge, MN
National Provider Identifier
1861227183
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NESS COUNSELING P.L.L.C.
Practice address
810 Beede Ave
Breckenridge, MN 56520-1660
Phone
(701) 866-9089
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Nicole NessNPI 1164056131
Title
Licsw
Phone
(701) 866-9089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

810 Beede Ave
Breckenridge, MN 56520-1660

Mailing address

528 11TH Ave N
Moorhead, MN 56560-1579
Phone (701) 866-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250730004385 MN Part B Supplier - Clinic/Group Practice 2163944596 Receives reassigned benefits from 1 practitioner
Practice locations: Breckenridge, MN

National Provider Directory

National Provider Directory

Locations

810 Beede Ave
Breckenridge, MN 56520
Phone (218) 643-6822

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1861227183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 11TH AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601579",
            "telephone_number": "701-866-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BEEDE AVE",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201660",
            "telephone_number": "701-866-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESS COUNSELING P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "701-866-9089"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.