Ashley Kasson Therapy PLLC
Organization Active NPI Mental Health Counselor · West Fargo, ND
NPI 1982205068 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1982205068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ASHLEY KASSON THERAPY PLLC
- Practice address
- 3220 4TH St E
West Fargo, ND 58078 - Phone
- (701) 552-6573
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Ashley Mauch
- Title
- Owner
- Phone
- (701) 552-6573
Practitioners 6
-
Samantha Plumski, LICSW
-
Jennifer J Schumacher, LCSW
-
Larae Marie Storer, APRN, FNP
-
Ashley A Kasson, M.S, LMFT
-
Jimena Del Carpio Schroeder, M.ED., PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210428001691 | ND | Part B Supplier - Clinic/Group Practice | 8224446406 |
Receives reassigned benefits from 4 practitioners Practice locations: West Fargo, ND |
National Provider Directory
Locations
3220 4th St E
West Fargo, ND 58078
Phone (701) 552-6573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
3220 4TH St E
West Fargo, ND 58078
Mailing address
3220 4TH St E
West Fargo, ND 58078
Phone (701) 552-6573
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All providers in West Fargo, ND · Mental Health Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.