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JENNIFER A TILLISCH LAC
NPI 1992043038
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since January 24, 2013
4227 9TH AVE SW, FARGO, ND 58103(701) 478-9535(701) 365-0021 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer A Tillisch Lac NPPES

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

JENNIFER A TILLISCH LAC (NPI 1992043038) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1688) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1992043038
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER A TILLISCHCredential: LAC
Location Address4227 9TH AVE SWFargo, ND 58103-2018
Mailing Address4227 9th Ave SwFargo, ND 58103-2018 · (701) 478-9535 · Fax (701) 365-0021
Phone(701) 478-9535
Fax(701) 365-0021
Sole ProprietorNo
Enumeration DateJanuary 24, 2013
✔ NPI 1992043038 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 · 1688
4227 9TH AVE SW, Fargo, ND 58103
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Other Providers at the Same Location NPPES 7

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

STEVEN D GORDON LADC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
SUSAN THERESA GORDON LADC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
ROBERTA R NELSON LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
MR. WILLIAM P SPARKE LICSW
Social Worker (Clinical)
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6651
ORVILLE S MANDAN LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
MOLLY SIEGERT
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
SADIE OLSON LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 478-9535

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 Jennifer Tillisch's NPI number?

The NPI number for Jennifer Tillisch is 1992043038. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Jennifer Tillisch located?

Jennifer Tillisch practices at 4227 9th Ave SW, Fargo, ND 58103. The listed phone number is (701) 478-9535.

What is Jennifer Tillisch's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Tillisch was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.