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

Desirae Ganje

Individual provider Case Manager/Care Coordinator · NPI 1487106555

Desirae Ganje is a Mental Health Counselor in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Southeast Human Service Center, a 29-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 107061520497 (ND)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1487106555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address2624 9th Ave S, Fargo, ND 58103-2350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeast Human Service Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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