| Andrea Rognlien, LPC | |
| 
					4610 Amber Valley Pkwy S Ste F, Fargo, ND 58104-8621  | |
| (701) 551-1840 | |
| (701) 551-1859 | 
| Full Name | Andrea Rognlien | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 4610 Amber Valley Pkwy S Ste F, Fargo, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568030062 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 988-2-1-19 (North Dakota) | Primary | 
| Entity Name | Becoming Balanced Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285196303 PECOS PAC ID: 3072845411 Enrollment ID: O20191104002707  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrea Rognlien, LPC 4610 Amber Valley Pkwy S Ste F, Fargo, ND 58104-8621 Ph: (701) 551-1840  | Andrea Rognlien, LPC 4610 Amber Valley Pkwy S Ste F, Fargo, ND 58104-8621 Ph: (701) 551-1840  | 
Rachel A Blumhardt,  Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Sarah Klimek,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477  | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383  | |
Mary Beth Stensgard,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539  | |
Deton Hart,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400  | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649  |