Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063568301 Individual Practitioner Male Practitioner

Larry Jerome Watnemo , LPCC

Counselor - Professional • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Larry Watnemo, LPCC is a registered healthcare professional specializing in Counselor - Professional in Fargo, ND. Practice services are available at 1112 NODAK DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1112 Nodak Dr S

Fargo, ND 581032366

Telephone 7012326224
Fax 7012324687
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
183 Specialists

Practicing in Fargo, ND (483 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ND ND 392-12-1-97-83

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1468231 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Heather Bjur , LMFT

Marriage & Family Therapist

NPI 1053648915

Licensed Marriage and Family Therapist

Jordan Register

Counselor - Professional

NPI 1104790179
NPI 1114018678

Doctor of Philosophy (Ph.D.)

Joan Quam , APRN NP

Nurse Practitioner - Adult Health

NPI 1124739263

APRNNP

Shannon Heick , LCSW

Social Worker - Clinical

NPI 1154726057

Licensed Clinical Social Worker

NPI 1194917831

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 20, 2020

Registered at 1112 NODAK DR S, FARGO, ND 581032366 (Tel: 7012326224)

📍
Updated Business Mailing Address May 20, 2020

Registered at 1112 NODAK DR S, FARGO, ND 581032366 (Tel: 7012326224)

👤
Provider Name / Credentials Updated May 20, 2020

Recorded as LARRY WATNEMO, LPCC

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 509 25TH AVE N, FARGO, ND 581021938 (Tel: 7012326224)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1725 32ND ST S, MOORHEAD, MN 565603900 (Tel: 2182333988)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY WATNEMO, D.MIN.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #ND 392-12-1-97-83 in ND)

🟢
Initial NPI Registration & Enumeration January 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063568301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2007
Last Update: May 20, 2020
Sole Proprietor: No

Mailing Address

1112 Nodak Dr S

Fargo, ND 581032366

Phone: 7012326224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.