| Nancy Gogolakis, MS, LPCC, NCC | |
|
2524 Golden Valley Pkwy S, Fargo, ND 58104-7355 | |
| (701) 403-4759 | |
| Not Available |
| Full Name | Nancy Gogolakis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2524 Golden Valley Pkwy S, 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 |
|---|---|---|---|
| 1225781966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC02650 (Minnesota) | Primary |
| Entity Name | Radiant Healthcare Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295597391 PECOS PAC ID: 4183155310 Enrollment ID: O20240930000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Gogolakis, MS, LPCC, NCC 2524 Golden Valley Pkwy S, Fargo, ND 58104-7355 Ph: () - | Nancy Gogolakis, MS, LPCC, NCC 2524 Golden Valley Pkwy S, Fargo, ND 58104-7355 Ph: (701) 403-4759 |
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 |