Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538466263 Individual Practitioner Female Practitioner

Kathryn Taylor Wayt , LPCC

Counselor - Professional • Fargo, ND

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kathryn Wayt, LPCC is a registered healthcare professional specializing in Counselor - Professional in Fargo, ND. Official NPI practice address is registered at 1112 NODAK DR S.

Practice Location & Contact Primary Location

Practice Address

1112 Nodak Dr S

Fargo, ND 581032333

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: 2025-01-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ND 1062-4-15-20-383

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1479322 (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

Larry Watnemo , LPCC

Counselor - Professional

NPI 1063568301

Licensed Professional Clinical Counselor

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

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 21, 2025

Registered at 1112 NODAK DR S, FARGO, ND 581032333 (Tel: 7012326224)

📍
Updated Business Mailing Address January 21, 2025

Registered at 1112 NODAK DR S, FARGO, ND 581032333 (Tel: 7012326224)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2025

Counselor (License #1062-4-15-20-383 in ND)

📍
Updated Practice Location April 14, 2020

Registered at 2901 20TH ST S, MOORHEAD, MN 565605269 (Tel: 7012326224)

📍
Updated Business Mailing Address April 14, 2020

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

👤
Provider Name / Credentials Updated April 14, 2020

Recorded as KATHRYN WAYT, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2020

Counselor (License #CC02345 in MN)

NPI Profile Active May 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2011

Registered at 2960 ROOSEVELT BLVD, CLEARWATER, FL 337601952 (Tel: 7274895241)

📍
Updated Business Mailing Address May 13, 2011

Registered at PO BOX 10970, ST PETERSBURG, FL 337330970 (Tel: 7274895241)

👤
Provider Name / Credentials Updated May 13, 2011

Recorded as KATHRYN WAYT, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2011

Counselor (License #10567 in FL)

🟢
Initial NPI Registration & Enumeration February 15, 2011

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: 1538466263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2011
Last Update: January 21, 2025
Sole Proprietor: No

Mailing Address

1112 Nodak Dr S

Fargo, ND 581032333

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.