NATHAN PETER FAA LAC
NPI 1154478444
Counselor - Addiction (Substance Use Disorder) in Minot, ND

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 05, 2007

1015 S BROADWAY STE 18, MINOT, ND 58701(701) 857-8500(701) 857-8555 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nathan Peter Faa Lac NPPES

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

NATHAN PETER FAA LAC (NPI 1154478444) is an individual addiction (substance use disorder) provider in Minot, North Dakota, licensed in North Dakota (1546) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1154478444

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameNATHAN PETER FAACredential: LAC

Location Address1015 S BROADWAY STE 18Minot, ND 58701-4667

Mailing Address1015 S Broadway Ste 18Minot, ND 58701-4667 · (701) 857-8500 · Fax (701) 857-8555

Phone(701) 857-8500

Fax(701) 857-8555

Sole ProprietorNo

Enumeration DateJanuary 5, 2007

Last NPPES UpdateOctober 14, 2010

✔ NPI 1154478444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in ND · 1546

1015 S BROADWAY STE 18, Minot, ND 58701

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Other Identifiers 2

Medicaid054517ND

Other27610ND · Bcbs Nd Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

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

CANDIS M MOCK LAC

Counselor (Addiction (Substance Use Disorder))