1. Home
  2. Directory
  3. North Dakota
  4. Devils Lake
  5. Counselor
  6. NPI Profile

VICTORIA CHURCH LAC
NPI 1235720095
Counselor - Addiction (Substance Use Disorder) in Devils Lake, ND

Active since February 03, 2021
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301(701) 665-2200 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Jan 9, 2026, Nov 7, 2025 and 2 more (5 updates tracked since 2021).

About Victoria Church Lac NPPES

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

VICTORIA CHURCH LAC (NPI 1235720095) is an individual addiction (substance use disorder) provider in Devils Lake, North Dakota, licensed in North Dakota (2030) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1235720095
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameVICTORIA CHURCHCredential: LAC
Location Address200 HIGHWAY 2 WDevils Lake, ND 58301-3532
Mailing Address200 Highway 2 WDevils Lake, ND 58301-3532 · (701) 665-2200
Phone(701) 665-2200
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1235720095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 2030
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1440-5-15-25A (ND)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
200 HIGHWAY 2 W, Devils Lake, ND 58301
Open in Google Maps ↗

Other Identifiers 1

Medicaid1498123ND

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.

TERRY A CLINKENBEARD D.O.
Psychiatry & Neurology (Psychiatry)
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200
JACQUELYN ARONSON LSW
Social Worker
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200
AMBER MACKEY
Case Manager/Care Coordinator
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200
TANIA R LYON
Case Manager/Care Coordinator
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200
MS. MICHELLE NELSON
Peer Specialist
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 520-1312
EMILY E LARSEN
Counselor (Mental Health)
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200
JESSICA ANN WALLETTE
Specialist
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 550-1244
CANDACE MARIA AZURE
Counselor (Addiction (Substance Use Disorder))
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301
Ramsey County (701) 665-2200

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 Victoria Church's NPI number?

The NPI number for Victoria Church is 1235720095. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Victoria Church located?

Victoria Church practices at 200 Highway 2 W, Devils Lake, ND 58301. The listed phone number is (701) 665-2200.

What is Victoria Church's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Victoria Church was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.