| Jenna Dobervich, | |
|
1201 25th St S, Fargo, ND 58103-2311 | |
| (701) 451-4900 | |
| Not Available |
| Full Name | Jenna Dobervich |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 1201 25th St S, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225301179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 710-2-1-12A (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashley Kasson Therapy Pllc | 8224446406 | 2 |
| Entity Name | Ashley Kasson Therapy PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982205068 PECOS PAC ID: 8224446406 Enrollment ID: O20210428001691 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Dobervich, 1201 25th St S, Po Box 9859, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Jenna Dobervich, 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4900 |
Rachel A Blumhardt, Counselor Medicare: Accepting Medicare Assignments 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 |
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 |
Alexandra Benson-tuff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1131 Westrac Dr S Ste 100, Fargo, ND 58103 Phone: 701-232-0760 |
Lisa Ann Mastel, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649 |