IndividualActive
Keith Gilleshammer, M.ED, LAC
NPI 1982901666 · Addiction (Substance Use Disorder) Counselor · Fargo, ND
Provider details
- NPI number
- 1982901666
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- M.ED, LAC
- Sex
- Male
- Sole proprietor
- No
- License
- 26814 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
409 7th St S
Fargo, ND 58103-1821
Phone: (701) 293-3384
Fax: (701) 293-3759
Street-level locationGet directions
Mailing address
409 7th St S
Fargo, ND 58103-1821
Additional practice locations (1)
- 2701 12th Ave SFargo, ND 58103-8753Phone: (701) 451-4900Fax: (651) 925-0057
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2020-02-17
- Certified
- 2020-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.