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MR. GERARD W KOTTENBROCK LICSW LAC
NPI 1528161189
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since September 07, 2006
510 4TH ST S, FARGO, ND 58103(701) 476-7240(701) 476-7269 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Gerard W Kottenbrock Licsw Lac NPPES

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

MR. GERARD W KOTTENBROCK LICSW LAC (NPI 1528161189) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1540) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1528161189
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GERARD W KOTTENBROCKCredential: LICSW LAC
Location Address510 4TH ST SFargo, ND 58103
Mailing Address510 4th St SFargo, ND 58103 · (701) 476-7240 · Fax (701) 476-7269
Phone(701) 476-7240
Fax(701) 476-7269
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1528161189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1540
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LICSW1832 (ND)
510 4TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 1

Medicaid19120ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

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.

KIFF ELIZABETH PETERSON
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
ASHLEY BISHOP
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
DR. LAWANA MARIE BURTNETT M.D.
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
MARYN LYNNA YOUNG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
CHERYL MELBYE LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7240
MRS. GLENICE M CARLSON PAC
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Cass County (701) 476-7239
CAMIE LYNN PFEIFER LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7876
WILLIAM D BRINK LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200

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 Gerard Kottenbrock's NPI number?

The NPI number for Gerard Kottenbrock is 1528161189. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Gerard Kottenbrock located?

Gerard Kottenbrock practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7240.

What is Gerard Kottenbrock's specialty?

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

What insurance does Gerard Kottenbrock accept?

Health plans from Blue Cross Blue Shield of North Dakota list Gerard Kottenbrock 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 Gerard Kottenbrock was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.