1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Social Worker
  6. NPI Profile

CORNERVINE COUNSELING, PLLC
NPI 1184423121
Social Worker - Clinical in Fargo, ND

Active since March 11, 2025
624 MAIN AVE STE 3A, FARGO, ND 58103(701) 373-1149 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Cornervine Counseling, Pllc NPPES

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

CORNERVINE COUNSELING, PLLC (NPI 1184423121) is a healthcare organization registered as a clinical in Fargo, North Dakota and active in the NPI registry since March 2025. The organization lists Amber Mutalipassi, Owner, as its authorized official.

NPPES Registry Identity

NPI1184423121
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCORNERVINE COUNSELING, PLLC
Location Address624 MAIN AVE STE 3AFargo, ND 58103-1966
Mailing Address624 Main Ave Ste 3aFargo, ND 58103-1966 · (701) 373-1149
Phone(701) 373-1149
Organization SubpartNo
Authorized OfficialAmber MutalipassiOwner · (701) 773-3381
Enumeration DateMarch 11, 2025
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1184423121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
624 MAIN AVE STE 3A, Fargo, ND 58103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

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

MS. AMBER NICOLE MUTALIPASSI LCSW
Social Worker (Clinical)
624 MAIN AVE STE 3A
FARGO, ND 58103
Cass County (701) 373-1149

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 Cornervine Counseling, PLLC's NPI number?

The NPI number for Cornervine Counseling, PLLC is 1184423121. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Cornervine Counseling, PLLC located?

Cornervine Counseling, PLLC is located at 624 Main Ave Ste 3A, Fargo, ND 58103. The listed phone number is (701) 373-1149.

What is Cornervine Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Cornervine Counseling, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Cornervine Counseling, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cornervine Counseling, PLLC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.