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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: October 18, 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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Sophie's, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to St. Sophie's, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Emmet Kenney, MD
Psychiatry
NPI 1902998081
3201 33RD ST S
Fargo, ND 58104
(701) 365-4488
✔ PECOS✔ Accepts MedicareSame address
Heather Pfaff, PMHNP-BC
Nurse Practitioner
NPI 1871389825
3201 33RD ST S
Fargo, ND 58104
(701) 365-4488
✔ PECOS✔ Accepts MedicareSame address
Justine Clark
Nurse Practitioner
NPI 1770329203
3201 33RD ST S
Fargo, ND 58104
(701) 365-4488
✔ PECOS✔ Accepts MedicareSame address
Rachel Sauter, NP
Nurse Practitioner
NPI 1134781321
3523 45TH ST S STE 100
Fargo, ND 58104
(701) 203-5247
✔ PECOS✔ Accepts Medicare1.5 mi
Aminata Kamara, NP
Nurse Practitioner
NPI 1578127288
19TH 8TH STREET SOUTH PMB 424
Fargo, ND 58103
(701) 660-3006
✔ PECOS✔ Accepts Medicare2.3 mi
Stephanie Akers, DNP, APRN, PMHNP
Nurse Practitioner
NPI 1609443597
1132 28TH AVE S STE 102
Moorhead, MN 56560
(218) 512-0630
✔ PECOS3.6 mi
Jana Suder, DNP
Nurse Practitioner
NPI 1639442411
820 4TH ST N
Fargo, ND 58102
(701) 234-6161
✔ PECOS✔ Accepts Medicare4.3 mi
Kimberlie Larson, RN, BSN
Nurse Practitioner
NPI 1679390652
2101 ELM ST N
Fargo, ND 58102
(218) 234-6600
✔ PECOS✔ Accepts Medicare5.8 mi
Andrea Okerstrom, PMHNP-BC
Nurse Practitioner
NPI 1689352056
225 W LINCOLN AVE STE 104
Fergus Falls, MN 56537
(218) 531-1424
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is St. Sophie's, LLC enrolled in Medicare?

Yes. St. Sophie's, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Sophie's, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to St. Sophie's, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Psychiatry (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.