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GWENDOLYN BREIDENBACH
NPI 1700716412
Peer Specialist in Fargo, ND

Active since May 22, 2026
921 2ND AVE S, FARGO, ND 58103(701) 318-8204 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwendolyn Breidenbach NPPES

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

GWENDOLYN BREIDENBACH (NPI 1700716412) is an individual peer specialist in Fargo, North Dakota, licensed in North Dakota (876) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1700716412
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameGWENDOLYN BREIDENBACH
Location Address921 2ND AVE SFargo, ND 58103-1705
Mailing Address921 2nd Ave SFargo, ND 58103-1705 · (701) 318-8204
Phone(701) 318-8204
Sole ProprietorNo
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1700716412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in ND · 876
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.
921 2ND AVE S, Fargo, ND 58103
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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.

ETHAN OFTEDAHL
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
KRIS STROUSE
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
MILLENNIUM FALCON
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
LIGHT HOUSE RECOVERY SERVICES
Community/Behavioral Health
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
SHANE KAYESKA
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
JAMIE MABE
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
NICHOLAS ERIC SENN
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 361-9922
HEAVENLY LACE MABE
Peer Specialist
921 2ND AVE S
FARGO, ND 58103
Cass County (701) 318-8204

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 Gwendolyn Breidenbach's NPI number?

The NPI number for Gwendolyn Breidenbach is 1700716412. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Gwendolyn Breidenbach located?

Gwendolyn Breidenbach practices at 921 2nd Ave S, Fargo, ND 58103. The listed phone number is (701) 318-8204.

What is Gwendolyn Breidenbach'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 Gwendolyn Breidenbach was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.