LUTHERAN SOCIAL SERVICES OF ND
NPI 1356558878
Psychiatric Residential Treatment Facility in Fargo, ND

NPI Status: Active since May 16, 2007

Contact Information

3911 20TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 235-7341

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About LUTHERAN SOCIAL SERVICES OF ND

This page provides the complete NPI Profile along with additional information for Lutheran Social Services Of Nd, a provider established in Fargo, North Dakota operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1356558878 assigned on May 2007. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Jessica Thommason (President Ceo)

NPI
1356558878
Provider Name
LUTHERAN SOCIAL SERVICES OF ND
Entity Type
Organization
Location Address
3911 20TH AVE S FARGO, ND 58103
Location Phone
(701) 235-7341
Mailing Address
PO BOX 389 FARGO, ND 58107
Mailing Phone
(701) 235-7341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2007
Last Update Date
04-03-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JESSICA THOMMASON

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(701) 235-7341

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0005817398OTHER (01)AETNA
54635MEDICAID (05)ND 
55350MEDICAID (05)ND 
57446MEDICAID (05)ND 
========= 58103 0000OTHER (01)TRICARE
50-50094OTHER (01)MEDICA
10355OTHER (01)NDBLUE CROSS BLUE SHIELD ND
050955MEDICAID (05)ND 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356558878
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310610516814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 6 + 8 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1356558878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699157073ABOUND COUNSELING LLC
Organization
Counselor (Mental Health)3911 20TH AVE S
FARGO, ND 58103
(701) 271-3272
1811083173 GLENDA G TROCHMANN LICSW
Individual
Social Worker (Clinical)3911 20TH AVE S
FARGO, ND 58103
(800) 985-7942
1366860520 LISA MARIE HOLTER LPCC
Individual
Counselor (Professional)3911 20TH AVE S
FARGO, ND 58103
(701) 271-1613
1720638562ABOUND COUNSELING LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)3911 20TH AVE S
FARGO, ND 58103
(701) 271-1613
1457749889 JESSICA DECKERT M.ED.
Individual
Counselor (Professional)3911 20TH AVE S
FARGO, ND 58103
(701) 404-7525
1346860954 KATIE BEHREND LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 271-1642
1073134227 REBEKAH NOEL JENSEN LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 235-7341
1669093811 ERIKA FREEBERG LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 371-1439
1093336240 ASHLEY WANGERIN
Individual
Case Manager/Care Coordinator3911 20TH AVE S
FARGO, ND 58103
(701) 235-3200
1346861432 KELSEY MOORHOUSE
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 318-2728
1821188962MS. ELLA HUWE LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 271-1617
1477809234MS. SHANDA HAKK
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 391-9961
1316569767GOETZ MENTAL WELLNESS INITIATIVE
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))3911 20TH AVE S
FARGO, ND 58103
(701) 271-1613
1285231241 AMY BROOKS LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 271-3232
1649469461 TRACY RADIG NELSON LCSW
Individual
Social Worker (Clinical)3911 20TH AVE S
FARGO, ND 58103
(701) 271-3232
1962805317 LISA VIG LAC, ICGC II
Individual
Counselor (Addiction (Substance Use Disorder))3911 20TH AVE S
FARGO, ND 58103
(701) 235-7341
1659774610MS. DAWN MICHELLE CRONIN ICGC, LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(701) 271-3220
1437657251 LORI ANN TRUMBAUER LPC
Individual
Counselor (Mental Health)3911 20TH AVE S
FARGO, ND 58103
(701) 235-7341
1235790775 JARIGUEZ COLLIER
Individual
Specialist3911 20TH AVE S
FARGO, ND 58103
(701) 271-1618
1467849539MRS. DANNIELLE JO KRAFT LBSW
Individual
Social Worker3911 20TH AVE S
FARGO, ND 58103
(406) 853-6336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356558878, enumerated in the NPI registry as an "organization" on May 16, 2007

The provider is located at 3911 20th Ave S Fargo, Nd 58103 and the phone number is (701) 235-7341

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Tricare, Medica Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.