| Nwhsc | |
|
316 2nd Ave W Williston ND 58801-5218 | |
| (701) 774-4600 | |
| (701) 774-4620 |
| Full Name | Nwhsc |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 2nd Ave W, Williston, North Dakota |
| Authorized Official Name and Position | Donna Aukland (ASSISTANT CFO - DHS) |
| Authorized Official Contact | 7013284924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwhsc Po Box 1266 Williston ND 58802-1266 Ph: (701) 774-4600 | Nwhsc 316 2nd Ave W Williston ND 58801-5218 Ph: (701) 774-4600 |
| NPI Number | 1770524613 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 4183683196 |
|---|---|
| Medicare Enrollment ID | O20041006000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770524613 | NPI | - | NPPES |
| 156001 | Other | ND | BCBS OF ND |
| 054516 | Medicaid | ND |
| Provider Name | Madeline L Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003914730 PECOS PAC ID: 7810893070 Enrollment ID: I20031209000508 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Michael P Capan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689728818 PECOS PAC ID: 2163495615 Enrollment ID: I20040813000833 |
| Provider Name | Thomas J Eick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972544708 PECOS PAC ID: 0941255434 Enrollment ID: I20050317000430 |
| Provider Name | Laura A Kroetsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740382456 PECOS PAC ID: 9234151572 Enrollment ID: I20051229000552 |
| Provider Name | Tammy D Ness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558458265 PECOS PAC ID: 9436240439 Enrollment ID: I20070806000437 |
| Provider Name | Charlotte A Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841490554 PECOS PAC ID: 3971696279 Enrollment ID: I20070831000425 |
| Provider Name | Maria De Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145309 PECOS PAC ID: 1557447760 Enrollment ID: I20080328000323 |
| Provider Name | Beth M Hemming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326087107 PECOS PAC ID: 0042374159 Enrollment ID: I20090203000696 |
| Provider Name | Joni M Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598708273 PECOS PAC ID: 0648308148 Enrollment ID: I20100504000222 |
| Provider Name | Lori J Esprit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548572688 PECOS PAC ID: 4587844592 Enrollment ID: I20110208001024 |
| Provider Name | Nancy J Hein Kolo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821182924 PECOS PAC ID: 9739363631 Enrollment ID: I20110418000193 |
| Provider Name | Stacey L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497812341 PECOS PAC ID: 6204076128 Enrollment ID: I20130717000152 |
| Provider Name | Kelly C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376896803 PECOS PAC ID: 7517191018 Enrollment ID: I20131017000170 |
| Provider Name | Shannon C Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528397288 PECOS PAC ID: 0244497527 Enrollment ID: I20140626000625 |
| Provider Name | Cassandra L Monk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980464 PECOS PAC ID: 4587982913 Enrollment ID: I20150415002497 |
| Provider Name | Stephanie A Jallen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245541895 PECOS PAC ID: 7810126562 Enrollment ID: I20150903002560 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Betty A Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922490101 PECOS PAC ID: 7113203530 Enrollment ID: I20170418002898 |
| Provider Name | Darla J Mork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609269869 PECOS PAC ID: 0446524102 Enrollment ID: I20170919000733 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Rose J Julius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316101074 PECOS PAC ID: 8123212545 Enrollment ID: I20180131002388 |
| Provider Name | Heather E Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861716037 PECOS PAC ID: 9335400696 Enrollment ID: I20180228003046 |
| Provider Name | Carrie Burris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053758300 PECOS PAC ID: 6709121940 Enrollment ID: I20181217002724 |
| Provider Name | Casandra A Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487028932 PECOS PAC ID: 1951642065 Enrollment ID: I20190417001887 |
| Provider Name | Brennan D Atherton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215319330 PECOS PAC ID: 4981027190 Enrollment ID: I20200707001484 |
| Provider Name | Elizabeth M Boots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381845 PECOS PAC ID: 6800215898 Enrollment ID: I20201001001391 |
| Provider Name | Laura Waagen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598204489 PECOS PAC ID: 0042648644 Enrollment ID: I20210104001270 |
| Provider Name | Jennifer L Lusinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314196 PECOS PAC ID: 1951714096 Enrollment ID: I20210108000713 |
| Provider Name | Blake M Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578996567 PECOS PAC ID: 8729491626 Enrollment ID: I20210114001569 |
| Provider Name | Allison R Samuelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700410305 PECOS PAC ID: 7416340781 Enrollment ID: I20220209000774 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205451317 PECOS PAC ID: 4587051313 Enrollment ID: I20220426002844 |
| Provider Name | Susan Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346614120 PECOS PAC ID: 5698143535 Enrollment ID: I20221123002762 |
| Provider Name | Kejon L Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619309291 PECOS PAC ID: 7416327929 Enrollment ID: I20221227002375 |
| Provider Name | Sadiah N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087767 PECOS PAC ID: 5597165613 Enrollment ID: I20231102002110 |
| Provider Name | Christina Hemmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508204421 PECOS PAC ID: 8224471883 Enrollment ID: I20240210000421 |
| Provider Name | Melony Ray Sanford |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811408974 PECOS PAC ID: 5991148470 Enrollment ID: I20240212003728 |
| Provider Name | John J Butgereit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629492715 PECOS PAC ID: 2961847603 Enrollment ID: I20240304002307 |
| Provider Name | Kelly L Mattis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841429719 PECOS PAC ID: 8628414216 Enrollment ID: I20240305004155 |
| Provider Name | Tarah E Cavett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922253954 PECOS PAC ID: 3577909076 Enrollment ID: I20240306003838 |
| Provider Name | Amy M Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407187982 PECOS PAC ID: 6507204641 Enrollment ID: I20240409001025 |
Clinical Consulting P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St, Suite 104, Williston, ND 58801 Phone: 701-651-6951 | |
Rachelle Eldred Professional Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 2nd St W Ste B, Williston, ND 58801 Phone: 701-580-4623 | |
Healing Hearts Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 2nd St W, Williston, ND 58801 Phone: 701-570-1317 | |
Dakota Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Main St, Williston, ND 58801 Phone: 701-774-8215 | |
Opportunity Foundation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 8th St E, Williston, ND 58801 Phone: 701-774-8593 Fax: 701-572-8871 | |
Bakken Behavioral Health Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 2nd St W Ste B, Williston, ND 58801 Phone: 701-770-7768 | |
Summit Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 14th St W Ste 290, Williston, ND 58801 Phone: 701-334-6242 Fax: 701-712-3299 |