| Decoteau Trauma-informed Care & Practice, Pllc | |
|
515 1/2 E Broadway Ave Suite. 106 Bismarck ND 58501-4408 | |
| (701) 751-0443 | |
| (701) 751-1616 |
| Full Name | Decoteau Trauma-informed Care & Practice, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 515 1/2 E Broadway Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Tami J De Coteau (OWNER) |
| Authorized Official Contact | 7017510443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decoteau Trauma-informed Care & Practice, Pllc 515 1/2 E Broadway Ave Suite. 106 Bismarck ND 58501-4408 Ph: (701) 751-0443 | Decoteau Trauma-informed Care & Practice, Pllc 515 1/2 E Broadway Ave Suite. 106 Bismarck ND 58501-4408 Ph: (701) 751-0443 |
| NPI Number | 1174890016 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 7911258025 |
|---|---|
| Medicare Enrollment ID | O20180927002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174890016 | NPI | - | NPPES |
| 16471 | Medicaid | ND | |
| 16472 | Other | ND | MEDICAID INDIVIDUAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 392 (North Dakota) | Primary |
| Provider Name | Susan K Herzog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992747042 PECOS PAC ID: 1456444249 Enrollment ID: I20070911000015 |
| Provider Name | Alana S Semchenko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316272503 PECOS PAC ID: 2860674629 Enrollment ID: I20110315000952 |
| Provider Name | Krista R Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922275304 PECOS PAC ID: 8325394497 Enrollment ID: I20180702003368 |
| Provider Name | Tami Decoteau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356426993 PECOS PAC ID: 1153475710 Enrollment ID: I20230430000016 |
| Provider Name | Monica M Melchior |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891938882 PECOS PAC ID: 3678610912 Enrollment ID: I20230430000026 |
| Provider Name | Candace Ell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639408016 PECOS PAC ID: 5698128262 Enrollment ID: I20240131000015 |
| Provider Name | Brandi Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104307362 PECOS PAC ID: 9133572720 Enrollment ID: I20240131000432 |
| Provider Name | Shelley Buffington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114956471 PECOS PAC ID: 5496142507 Enrollment ID: I20240131000564 |
| Provider Name | Courney Govig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437675212 PECOS PAC ID: 2163866617 Enrollment ID: I20240223000093 |
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Telehealth Physician Network, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St Ste 155, Bismarck, ND 58504 Phone: 833-484-6359 | |
Beacon Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4205 State St Ste 5, Bismarck, ND 58503 Phone: 701-214-5530 Fax: 701-712-5587 | |
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Therapeutic Trauma And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 La Paz Ave, Bismarck, ND 58503 Phone: 701-595-2414 | |
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