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KEITH ALLEN GILLESHAMMER M.ED, LAC
NPI 1982901666
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since February 16, 2011
409 7TH ST S, FARGO, ND 58103(701) 293-3384(701) 293-3759 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Allen Gilleshammer M.ed, Lac NPPES

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

KEITH ALLEN GILLESHAMMER M.ED, LAC (NPI 1982901666) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (26814) and active in the NPI registry since February 2011. He maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1982901666
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH ALLEN GILLESHAMMERCredential: M.ED, LAC
Location Address409 7TH ST SFargo, ND 58103-1821
Mailing Address409 7th St SFargo, ND 58103-1821 · (701) 293-3384 · Fax (701) 293-3759
Phone(701) 293-3384
Fax(701) 293-3759
Sole ProprietorNo
Enumeration DateFebruary 16, 2011
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1982901666 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 · 26814
409 7TH ST S, Fargo, ND 58103
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Secondary Practice Location 1

Location 12701 12th Ave SFargo, ND 58103-8753 · Phone (701) 451-4900 · Fax (651) 925-0057

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 2

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

MEGAN RAMSEY
Counselor (Addiction (Substance Use Disorder))
409 7TH ST S
FARGO, ND 58103
Cass County (701) 293-3384
JENNIFER LANDPHERE B.S., LAC
Counselor (Addiction (Substance Use Disorder))
409 7TH ST S
FARGO, ND 58103
Cass County (701) 293-3384

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 Keith Gilleshammer's NPI number?

The NPI number for Keith Gilleshammer is 1982901666. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Keith Gilleshammer located?

Keith Gilleshammer practices at 409 7th St S, Fargo, ND 58103. The listed phone number is (701) 293-3384.

What is Keith Gilleshammer's specialty?

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

What insurance does Keith Gilleshammer accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Keith Gilleshammer 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 Keith Gilleshammer was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.