MANDY JO HOFLAND LAC
NPI 1467937573
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mandy Jo Hofland Lac NPPES

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

MANDY JO HOFLAND LAC (NPI 1467937573) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1832) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467937573
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMANDY JO HOFLANDCredential: LAC
Location Address510 4TH ST SFargo, ND 58103-1914
Mailing Address651 Pheasant RunWest Fargo, ND 58078-3136 · (701) 371-4105
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 25, 2018
NPI 1467937573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ND · 1832
510 4TH ST S, Fargo, ND 58103

Other Names 1

Former Name (1)Mandy Jo Herrmann

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mandy Jo Hofland Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648774026
PECOS Enrollment IDI20250918002349
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.

Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103

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 Mandy Hofland's NPI number?

The NPI number for Mandy Hofland is 1467937573. It was assigned to this individual provider in the NPPES registry on September 25, 2018. The provider is also known as Mandy Jo Herrmann.

Where is Mandy Hofland located?

Mandy Hofland practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7880.

What is Mandy Hofland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Mandy Hofland enrolled in Medicare?

Yes. Mandy Hofland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mandy Hofland accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mandy Hofland 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 Mandy Hofland was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.