L.I.S.T.E.N. Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

L.I.S.T.E.N. INC

Practice address

1407 24TH Ave S
100
Grand Forks, ND 58201-6761

Phone

(701) 746-7840

Fax

(701) 795-1900

NPI assigned

Jul 5, 2016

Last updated

Apr 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Potts, MSM

Title

Executive Director

Phone

(701) 746-7840

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LISTEN Other name

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1912359886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "address_2": "100",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-746-7840",
            "fax_number": "701-795-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "address_2": "100",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-746-7840",
            "fax_number": "701-795-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.S.T.E.N. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-746-7840",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35366",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456350",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISTEN",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LISTEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Kuster, RD, LRD
• Jessica Kuznia, DPT
• Sherryl Frances Kvamme
• Marlys Mae Kvasager, LICSW
• Edwin Etse Kwakugah, MD
• Glenn Wayne Labine, DDS
• Deborah L Lachance, MD
• Nancy K Lacina, PT
• Lacy M. Suby, PLLC (Level Up Mental Health Collaborative)
• Nicole Ladouceur, LPCC

• Community/Behavioral Health Agency in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.