Choice Recovery Counseling, PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CHOICE RECOVERY COUNSELING, PLLC

Practice address

705 E Highland Dr Ste E
Williston, ND 58801-4494

Phone

(701) 770-9743

Fax

(701) 572-5410

NPI assigned

Aug 10, 2022

Last updated

Jul 1, 2024By 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

Lacey Glueckert, LICENSED ADDICTION CNPI 1518083120

Title

Owner

Phone

(701) 770-9743

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Choice Recovery Counseling/Lacey Glueckert Former legal business name
• Lacey Glueckert Other name

Locations

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.

• Lacey Jean Glueckert, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Williston, ND
  • NPI 1518083120
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1962130666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E HIGHLAND DR STE E",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014494",
            "telephone_number": "701-770-9743",
            "fax_number": "701-572-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E HIGHLAND DR STE E",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014494",
            "telephone_number": "701-770-9743",
            "fax_number": "701-572-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE RECOVERY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GLUECKERT",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-770-9743",
        "authorized_official_credential": "LICENSED ADDICTION C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YA0400X",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Recovery Counseling/Lacey Glueckert",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lacey Glueckert",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Williston, ND
• Providers in Williston, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.