Healthcare Provider Details

I. General information

NPI: 1134067416
Provider Name (Legal Business Name): NEW TERRAIN ADDICTION & RECOVERY LLC JESSE A CROSBY SOLE MBR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MAIN ST S STE 301
MINOT ND
58701-3956
US

IV. Provider business mailing address

315 MAIN ST S STE 301
MINOT ND
58701-3956
US

V. Phone/Fax

Practice location:
  • Phone: 701-335-8969
  • Fax:
Mailing address:
  • Phone: 701-335-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JESSE CROSBY
Title or Position: CLINICAL ADDICTION COUNSELOR
Credential: LCAC
Phone: 701-578-5334