Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

30:17 Counseling, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1225414956

30:17 Counseling, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2015.

Licensed in
ND
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3003 32nd Ave S Ste 210
Fargo, ND 58103-6163
Phone: (701) 541-0313
Fax: (701) 291-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence 666-9-1-10-243 (ND)

Record details

NPI number1225414956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Perez — Professional Clinical Counselor · (701) 541-0313
NPI enumeratedAugust 4, 2015
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address3003 32nd Ave S Ste 210, Fargo, ND 58103-6163

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