1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Counselor
  6. NPI Profile

MIDWEST MENTAL HEALTH
NPI 1710600028
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since September 21, 2022
121 UNIVERSITY DR N, FARGO, ND 58102(701) 478-5808 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Sep 21, 2022 (2 updates tracked since 2022).

About Midwest Mental Health NPPES

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

MIDWEST MENTAL HEALTH (NPI 1710600028) is a healthcare organization registered as an addiction (substance use disorder) in Fargo, North Dakota and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Fargo and lists Jacqualine Kay Gervais, President/owner, as its authorized official.

NPPES Registry Identity

NPI1710600028
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameMIDWEST MENTAL HEALTH CLINIC PLLC
Location Address121 UNIVERSITY DR NFargo, ND 58102-4631
Mailing Address1122 1st Ave NFargo, ND 58102-4604
Phone(701) 478-5808
Organization SubpartYes
Authorized OfficialJacqualine Kay GervaisPresident/owner · (701) 371-9769
Enumeration DateSeptember 21, 2022
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1710600028 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
121 UNIVERSITY DR N, Fargo, ND 58102
Open in Google Maps ↗

Other Names 1

Doing Business AsMidwest Mental Health

Secondary Practice Location 1

Location 1333 19th St NFargo, ND 58102-4145 · Phone (701) 478-5808 · Fax (218) 477-1354

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEY HERRMANN
Case Manager/Care Coordinator
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (701) 478-5808
MATTHEW WALTERS
Case Manager/Care Coordinator
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (218) 593-1694
THANE SOLBERG
Case Manager/Care Coordinator
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (701) 341-1253
STEPHEN HURLEY
Peer Specialist
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (701) 478-5808
DARIAN SONGER-BAIL
Peer Specialist
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (218) 593-1694
MICHAEL KIRSCH
Counselor (Mental Health)
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (701) 478-5808
CHRISTIAN RUTH
Peer Specialist
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (218) 477-1353
RHEA NEUBERGER
Case Manager/Care Coordinator
121 UNIVERSITY DR N
FARGO, ND 58102
Cass County (218) 477-1353

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 Midwest Mental Health Clinic PLLC's NPI number?

The NPI number for Midwest Mental Health Clinic PLLC is 1710600028. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is doing business as Midwest Mental Health.

Where is Midwest Mental Health Clinic PLLC located?

Midwest Mental Health Clinic PLLC is located at 121 University Dr N, Fargo, ND 58102. The listed phone number is (701) 478-5808.

What is Midwest Mental Health Clinic PLLC's specialty?

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

What insurance does Midwest Mental Health Clinic PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Midwest Mental Health Clinic PLLC 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 Midwest Mental Health Clinic PLLC was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.