Midwest Mental Health Clinic PLLC
NPI 1710600028ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Fargo, ND
Counselor, Addiction (Substance Use Disorder) in Fargo, North Dakota, registered in NPPES in September 2022, part of Midwest Mental Health Clinic PLLC. The authorized official on file is Jacqualine Kay Gervais, DNP, PMHNP, CARN-AP, President/Owner.
Overview
| NPI | 1710600028 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Midwest Mental Health Clinic PLLC |
| NPI issued | Sep 21, 2022 |
| Last updated in NPPES | Jun 27, 2024 |
| Certified by provider | Jun 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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