NPIMap

Organization Active NPI

Dakota Family Services, Inc

Doing business as Dakota Family Services

  • Mental Health Counselor
  • Fargo, ND
National Provider Identifier
1902940182
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DAKOTA FAMILY SERVICES, INC
Doing business as
Dakota Family Services
Practice address
300 45TH St SW
Suite 311
Fargo, ND 58103-1189
Phone
(701) 837-6508
Fax
(701) 858-1839
NPI assigned
Feb 19, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Connie F Irey
Title
Office Manager
Phone
(701) 837-6508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

300 45TH St SW
Suite 311
Fargo, ND 58103-1189

Mailing address

PO Box 1148
Minot, ND 58702-1148
Phone (701) 837-6508

Other identifiers 3

IdentifierTypeStateIssuer
13661MedicaidND
06641001OtherNDBLUE CROSS BLUE SHIELD ND
06641002OtherNDBCBS OF ND

Other names 1

  • Dakota Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 45th St SW
Ste 311
Fargo, ND 58103
Phone (701) 837-6508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902940182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587021148",
            "telephone_number": "701-837-6508",
            "fax_number": "701-858-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 45TH ST SW",
            "address_2": "SUITE 311",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031189",
            "telephone_number": "701-837-6508",
            "fax_number": "701-858-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "IREY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-837-6508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13661",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ND",
            "identifier": "06641001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "06641002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.