1. Home
  2. Directory
  3. North Dakota
  4. Williston
  5. Peer Specialist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA FAGAN
NPI 1528962149
Peer Specialist in Williston, ND

Active since October 06, 2026
316 2ND AVE W, WILLISTON, ND 58801(701) 774-4600 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Amanda Fagan NPPES

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

AMANDA FAGAN (NPI 1528962149) is an individual peer specialist in Williston, North Dakota and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1528962149
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA FAGAN
Location Address316 2ND AVE WWilliston, ND 58801-2005
Mailing Address316 2nd Ave WWilliston, ND 58801-2005 · (701) 774-4600
Phone(701) 774-4600
Sole ProprietorYes
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1528962149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
316 2ND AVE W, Williston, ND 58801
Open in Google Maps ↗

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.

MS. ELIZABETH LARK BAUM MSW
Social Worker
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
KASIA BREANN JOHNSON
Specialist
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
ELIZABETH ANN SKOV FPMHNP
Nurse Practitioner
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
KELVIN HAZANGWI
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
BRITTANY MITCHELL LCSW
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
MR. TERRY L GOLDADE LICSW
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
MR. DENNIS L OMVIG LSW
Social Worker
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
LEAH LEAK
Case Manager/Care Coordinator
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600

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 Amanda Fagan's NPI number?

The NPI number for Amanda Fagan is 1528962149. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Amanda Fagan located?

Amanda Fagan practices at 316 2nd Ave W, Williston, ND 58801. The listed phone number is (701) 774-4600.

What is Amanda Fagan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Fagan was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.