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BRYAN ALLEN BLOEMENDAAL MS, LAC
NPI 1245784156
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since August 09, 2016
4215 9TH AVE S, FARGO, ND 58103(701) 373-8667 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Bryan Allen Bloemendaal Ms, Lac NPPES

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

BRYAN ALLEN BLOEMENDAAL MS, LAC (NPI 1245784156) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1797) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1245784156
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRYAN ALLEN BLOEMENDAALCredential: MS, LAC
Location Address4215 9TH AVE SFargo, ND 58103-2018
Mailing Address5050 40th Ave S, Apt 203Fargo, ND 58104-8906 · (507) 215-2096
Phone(701) 373-8667
Sole ProprietorYes
Enumeration DateAugust 9, 2016
Last NPPES UpdateAugust 29, 20162 updates tracked since enumeration
✔ NPI 1245784156 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
Licenses✔ Licensed in ND · 1797✔ Licensed in MN · 304586
4215 9TH AVE S, Fargo, ND 58103
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Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

STACEY NELSON LAC
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
PAUL VIGEN LAC, LAPC
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
SHAREHOUSE, INC
Substance Abuse Rehabilitation Facility
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 478-9554
DYLAN PAUL HARCEY
Social Worker
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 373-8667
TIMOTHY CLARK
Counselor (Addiction (Substance Use Disorder))
4215 9TH AVE S
FARGO, ND 58103
Cass County (701) 478-9554

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 Bryan Bloemendaal's NPI number?

The NPI number for Bryan Bloemendaal is 1245784156. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Bryan Bloemendaal located?

Bryan Bloemendaal practices at 4215 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 373-8667.

What is Bryan Bloemendaal's specialty?

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

What insurance does Bryan Bloemendaal accept?

Health plans from Blue Cross Blue Shield of North Dakota list Bryan Bloemendaal 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 Bryan Bloemendaal was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.