Individual provider Active NPI

Mallary Schaefer

  • Marriage & Family Therapist
  • Minot, ND
National Provider Identifier
1912324997
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2016-055 Issued in ND
Practice address
20 1St St SW Ste 250
Minot, ND 58701-3851
Phone
(701) 852-3328
NPI assigned
Mar 27, 2014
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2016-055 ND Primary

Addresses

Primary practice location

20 1St St SW Ste 250
Minot, ND 58701-3851

Mailing address

2701 12TH Ave S
Fargo, ND 58103-8753

Other names 1

  • Mallary Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222000259 ND Practitioner - Marriage and Family Therapist 8628412269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016-055NDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Village Family Service Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

1201 25th St SW
Fargo, ND 58103
Phone (701) 451-4855

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

20 1st St SW
Ste 250
Minot, ND 58701
Phone (701) 852-3328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1912324997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 12TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1ST ST SW STE 250",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013851",
            "telephone_number": "701-852-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MALLARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2016-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLARY",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.