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ST. SOPHIE'S, LLC
NPI 1336443654
Clinic/Center - Adolescent and Children Mental Health in Fargo, ND

Active since December 29, 2010
3201 33RD ST S, FARGO, ND 58104(701) 365-4488(701) 365-0727 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Sophie's, Llc NPPES

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

ST. SOPHIE'S, LLC (NPI 1336443654) is a healthcare organization registered as an adolescent and children mental health in Fargo, North Dakota and active in the NPI registry since December 2010. The organization lists Tracey Jean Frei, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336443654
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameST. SOPHIE'S, LLC
Location Address3201 33RD ST SFargo, ND 58104-8823
Mailing Address3201 33rd St SFargo, ND 58104-8823 · (701) 365-4488 · Fax (701) 365-0727
Phone(701) 365-4488
Fax(701) 365-0727
Organization SubpartNo
Authorized OfficialTracey Jean FreiOffice Manager · (701) 365-4467
Enumeration DateDecember 29, 2010
Last NPPES UpdateApril 30, 2014
✔ NPI 1336443654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in ND · 7174
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 7174 (ND)
3201 33RD ST S, Fargo, ND 58104
Open in Google Maps ↗

Other Identifiers 2

Medicare PINN716149ND
Medicaid15685ND

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 7

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

PAYTON PIATZ DNP, FNP
Nurse Practitioner (Family)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 364-4467
SAMANTHA BRAATEN PA-C
Psychiatry & Neurology (Psychiatry)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4488
SUMMER JOY ELLINGSON APRN, CNP
Nurse Practitioner (Family)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4488
JUSTINE CLARK
Nurse Practitioner (Primary Care)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4488
LAURA MARIE DELAGE CNP
Nurse Practitioner
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4467
HEATHER PFAFF PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4488
MR. EMMET MICHAEL KENNEY JR. MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3201 33RD ST S
FARGO, ND 58104
Cass County (701) 365-4488

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 St. Sophie's, LLC's NPI number?

The NPI number for St. Sophie's, LLC is 1336443654. It was assigned to this organization in the NPPES registry on December 29, 2010.

Where is St. Sophie's, LLC located?

St. Sophie's, LLC is located at 3201 33rd St S, Fargo, ND 58104. The listed phone number is (701) 365-4488.

What is St. Sophie's, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does St. Sophie's, LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list St. Sophie's, LLC 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 St. Sophie's, LLC was last updated on April 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.