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DEEP ROOTS RECOVERY LLC
NPI 1063262137
Peer Specialist in Fargo, ND

Active since March 25, 2024
1351 PAGE DR S STE 202, FARGO, ND 58103(701) 895-4353 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deep Roots Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEP ROOTS RECOVERY LLC (NPI 1063262137) is a healthcare organization registered as a peer specialist in Fargo, North Dakota and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Amenia and lists Cole Ryan Thomsen, President, as its authorized official.

NPPES Registry Identity

NPI1063262137
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameDEEP ROOTS RECOVERY LLC
Location Address1351 PAGE DR S STE 202Fargo, ND 58103-3536
Mailing Address1351 Page Dr S Ste 202Fargo, ND 58103-3536 · (701) 895-4353
Phone(701) 895-4353
Organization SubpartNo
Authorized OfficialCole Ryan ThomsenPresident · (701) 895-4353
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1063262137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1351 PAGE DR S STE 202, Fargo, ND 58103
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Secondary Practice Location 1

Location 115316 26th St SEAmenia, ND 58004-9753 · Phone (701) 895-4353

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BURDETTE
Case Manager/Care Coordinator
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 360-2430
CHRISTINA KAPAUN
Case Manager/Care Coordinator
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 388-5761
KENNETH FLANAGAN LCSW
Social Worker (Clinical)
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 353-9979
REDEEMING GRACE COUNSELING PLLC
Counselor (Addiction (Substance Use Disorder))
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 353-9979
BRITTANY TSCHIDA CC, PS
Case Manager/Care Coordinator
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 831-0375
MS. JENNIFER LENORE ANDERSON MSW, LICSW
Social Worker (Clinical)
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 353-9979
LESLIE AUNE
Case Manager/Care Coordinator
1351 PAGE DR S STE 202
FARGO, ND 58103
Cass County (701) 639-3163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep Roots Recovery LLC's NPI number?

The NPI number for Deep Roots Recovery LLC is 1063262137. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is Deep Roots Recovery LLC located?

Deep Roots Recovery LLC is located at 1351 Page Dr S Ste 202, Fargo, ND 58103. The listed phone number is (701) 895-4353.

What is Deep Roots Recovery LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Deep Roots Recovery LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.