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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE EBACK
NPI 1417410275
Counselor - Professional in Fargo, ND

Active since April 09, 2019PECOS Enrolled
801 BROADWAY N, FARGO, ND 58102(701) 234-2000 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 13, 2026, Apr 2, 2026, Apr 9, 2019 (3 updates tracked since 2019).

About Katherine Eback NPPES

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

KATHERINE EBACK (NPI 1417410275) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (993-3-1-19-496) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Williston.

NPPES Registry Identity

NPI1417410275
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE EBACK
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(701) 234-2000
Sole ProprietorYes
Enumeration DateApril 9, 2019
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1417410275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 993-3-1-19-496
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 993-3-1-19-496 (ND)
801 BROADWAY N, Fargo, ND 58102
Open in Google Maps ↗

Other Names 1

Former Name (1)Katherine Eick

Secondary Practice Location 1

Location 1316 2nd Ave WWilliston, ND 58801-5218 · Phone (701) 302-8888

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Eback is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SARAH HOEPFNER
Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6970
JULIE HONEYMAN CRNA
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6355
SANFORD MEDICAL CENTER FARGO
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5264
DOUGLAS J HUSHKA MD
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6552
PAUL JAMES CARSON MD
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-4811
DR. EMUEJEVOKE JOSEPH OKOH M.D.
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2000
WALDEMAR G STORM MD
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2261
GREGORY J BJERKE MD
Internal Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5123

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 Katherine Eback's NPI number?

The NPI number for Katherine Eback is 1417410275. It was assigned to this individual provider in the NPPES registry on April 9, 2019. The provider is also known as Katherine Eick.

Where is Katherine Eback located?

Katherine Eback practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2000.

What is Katherine Eback's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katherine Eback enrolled in Medicare?

Yes. Katherine Eback is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Eback accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Katherine Eback 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 Katherine Eback was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.