OrganizationActive
30:17 Counseling, PLLC
NPI 1225414956 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND
Provider details
- NPI number
- 1225414956
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Perez, Professional Clinical Counselor(701) 541-0313
- License
- 666-9-1-10-243 (ND)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 666-9-1-10-243 (ND)
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3003 32nd Ave S Ste 210
Fargo, ND 58103-6163
Phone: (701) 541-0313
Fax: (701) 291-2021
Street-level locationGet directions
Mailing address
3003 32nd Ave S Ste 210
Fargo, ND 58103-6163
Registry dates
- Enumerated
- 2015-08-04
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.