SHAREHOUSE GENESIS
NPI 1356576979
Substance Abuse Rehabilitation Facility in Fargo, ND
NPI Status: Active since May 27, 2009
Contact Information
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
Phone: (701) 478-8440
Fax: (651) 925-0046
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
About SHAREHOUSE GENESIS
This page provides the complete NPI Profile along with additional information for Sharehouse Genesis, a provider established in Fargo, North Dakota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1356576979 assigned on May 2009. The practitioner's primary taxonomy code is 324500000X with license number 1056 (ND). The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Mr. Jeremy Traen Lbsw,lcac,ladc.mba (Ceo/president)
- NPI
- 1356576979
- Provider Name
- SHAREHOUSE GENESIS
- Entity Type
- Organization
- Location Address
- 505 40TH ST S UNIT B FARGO, ND 58103
- Location Phone
- (701) 478-8440
- Location Fax
- (651) 925-0046
- Mailing Address
- 4227 9TH AVE S FARGO, ND 58103
- Mailing Phone
- (701) 282-6561
- Mailing Fax
- (651) 925-0046
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-27-2009
- Last Update Date
- 05-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 1056
- License State
- ND
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for SHAREHOUSE GENESIS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 7 | 6 | 9 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 7 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 7 + 1 + 2 + 9 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1356576979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
DAVID COLLINS LAC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
JEREMY TRAEN LAC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
JESSICA KRIEL LAC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
MRS. AMY CAROLINE NOER LAC, LADC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
DAVID CHARLES LAUGHLIN LCSW
Social Worker
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
MR. RICHARD K HARVALA JR. MS, LAC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
SHERYL RAE MEARS LBSW
Social Worker
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
CHAD RAY FISCHER LBSW
Social Worker
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
JENNIFER A FERCHO LAC
Counselor
(Addiction (Substance Use Disorder))
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356576979, enumerated as an "organization" on May 27, 2009.
The provider is located at 505 40TH ST S UNIT B FARGO, ND 58103 and the phone number is (701) 478-8440.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to verify.
