Northern Therapy and Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHERN THERAPY AND CONSULTING, LLC

Practice address

522 Beltrami Ave NW Ste 105
Bemidji, MN 56601-3002

Phone

(218) 368-7448

NPI assigned

May 3, 2024

Organization subpart

Yes

Parent organization

NORTHERN THERAPY AND CONSULTING, LLCAs reported in NPPES

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

Authorized official

Name

Stephanie Anne A Bumgardner, MSW, LICSW

Title

Owner

Phone

(218) 368-7448

Specialties & licenses 1

Addresses

Other names 1

• Northern Therapy and Consulting, LLC Other name

Part of

Northern Therapy and Consulting LLC

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.

• Stephanie A Bumgardner, M.S.W., L.I.C.S.W

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1306080197
  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1972350312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 105",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013002",
            "telephone_number": "218-368-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 105",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013002",
            "telephone_number": "218-368-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN THERAPY AND CONSULTING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN THERAPY AND CONSULTING, LLC",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "A BUMGARDNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-368-7448",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Therapy and Consulting, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.