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AMACHI MENTORING
NPI 1366023491
Substance Abuse Rehabilitation Facility in Devils Lake, ND

Active since April 20, 2021
414 4TH AVE NE, DEVILS LAKE, ND 58301(701) 662-6767 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amachi Mentoring NPPES

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

AMACHI MENTORING (NPI 1366023491) is a healthcare organization registered as a substance abuse rehabilitation facility in Devils Lake, North Dakota and active in the NPI registry since April 2021. The organization lists Brenda Bergsrud, Director, as its authorized official.

NPPES Registry Identity

NPI1366023491
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAMACHI MENTORING
Location Address414 4TH AVE NEDevils Lake, ND 58301-2458
Mailing Address414 4th Ave NeDevils Lake, ND 58301-2458 · (701) 662-6767
Phone(701) 662-6767
Organization SubpartNo
Authorized OfficialBrenda BergsrudDirector · (701) 662-6767
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1366023491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
414 4TH AVE NE, Devils Lake, ND 58301
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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.

SHAYNA MARIE GLASER
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 215-6855
AMANDA DELVO
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
LADENE GLADUE
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
DYLAN MEDRUD
Case Manager/Care Coordinator
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
JAMES SHAW
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
JACKIE KNUDSON
Case Manager/Care Coordinator
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
JAMIE ENNO
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
CLIFFORD AZURE
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767

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 Amachi Mentoring's NPI number?

The NPI number for Amachi Mentoring is 1366023491. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Amachi Mentoring located?

Amachi Mentoring is located at 414 4th Ave NE, Devils Lake, ND 58301. The listed phone number is (701) 662-6767.

What is Amachi Mentoring's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Amachi Mentoring was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.