Carlee P Anderson, LPCC
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1992315261 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1992315261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1078-7-15-20-486 (ND)
- Practice address
- 1201 25TH St S
Fargo, ND 58103-2311 - Phone
- (701) 451-4900
- Fax
- (651) 925-0057
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240220001187 | ND | Practitioner - Mental Health Counselor | 1153765086 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | Current |
Accepting new patients | |
| Village Family Service Center | Professional | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1078-7-15-20A | ND | |
| Professional Counselor | 101YP2500X | 1078-7-15-20-486 | ND | Yes |
Addresses
Primary practice location
1201 25TH St S
Fargo, ND 58103-2311
Mailing address
PO Box 9859
Fargo, ND 58106-9859
Phone (701) 451-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482711 | Medicaid | ND |
Other names
- Carlee P Gebeke
Other providers in Fargo, ND
- Brandi J Anderson
- Brendan Anderson
- Brian D Anderson
- Bridget L Anderson
- Brittany Sue Anderson
- Carol Ann Anderson
- Christopher E Anderson
- David Anderson
- Derek Anderson
- Donal M Anderson
All providers in Fargo, ND · Professional 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 Sep 4, 2025. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.