Creative Spirit Counseling, Pllc - Medicare Mental Health Clinic in Fargo, ND

Creative Spirit Counseling, Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fargo, North Dakota. The current practice location for Creative Spirit Counseling, Pllc is 1535 42nd St S, Suite 400, Fargo, North Dakota. For appointments, you can reach them via phone at (701) 715-8567. The mailing address for Creative Spirit Counseling, Pllc is 1535 42nd St S, Suite 400, Fargo, North Dakota and phone number is (701) 715-8567.

Creative Spirit Counseling, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134779176. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 715-8567.

Contact Information

Creative Spirit Counseling, Pllc
1535 42nd St S
Suite 400
Fargo
ND 58103-3383
(701) 715-8567
(701) 540-0098

Mental Health Clinic Profile

Full NameCreative Spirit Counseling, Pllc
SpecialitySocial Worker
Location1535 42nd St S, Fargo, North Dakota
Authorized Official Name and PositionEmily M Jones (MANAGING MEMBER/CLINICAL)
Authorized Official Contact7017158567
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Creative Spirit Counseling, Pllc
1535 42nd St S
Suite 400
Fargo
ND 58103-3383

Ph: (701) 715-8567
Creative Spirit Counseling, Pllc
1535 42nd St S
Suite 400
Fargo
ND 58103-3383

Ph: (701) 715-8567

NPI Details:

NPI Number1134779176
Provider Enumeration Date09/11/2019
Last Update Date01/23/2024
Certification Date02/15/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8527492966
Medicare Enrollment IDO20191218001439

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› Verified 8 days ago

Medical Identifiers

Medical identifiers for Creative Spirit Counseling, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134779176NPI-NPPES
1478422MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Creative Spirit Counseling, Pllc acts as a billing entity for following providers:
Provider NameEmily M Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184142945
PECOS PAC ID: 9436583879
Enrollment ID: I20191218001508

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Provider NameKaitlyn R Jacobsen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962043026
PECOS PAC ID: 8022442276
Enrollment ID: I20200117000741

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Provider NameHannah M. Ritteman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982048351
PECOS PAC ID: 6901224054
Enrollment ID: I20200922001524

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Provider NameShannon Pfau
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023553849
PECOS PAC ID: 6204235377
Enrollment ID: I20210521000331

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Provider NameLisa M Burger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619510617
PECOS PAC ID: 6507235983
Enrollment ID: I20221206002949

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Provider NameLynae S Hemming
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598259814
PECOS PAC ID: 5092102905
Enrollment ID: I20240111002639

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› Verified 8 days ago

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