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2625 N 19th St Bismarck ND 58503-0574 | |
| (701) 222-3175 | |
| (701) 222-3186 |
| Full Name | |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 2625 N 19th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Tia-lee Whitted (FINANCIAL/CREDENTIALING) |
| Authorized Official Contact | 7012145617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2625 N 19th St Bismarck ND 58503-0574 Ph: (701) 222-3175 | 2625 N 19th St Bismarck ND 58503-0574 Ph: (701) 222-3175 |
| NPI Number | 1639257033 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 9739571647 |
|---|---|
| Medicare Enrollment ID | O20220126000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639257033 | NPI | - | NPPES |
| 1451283 | Medicaid | ND | |
| 1461975 | Medicaid | ND | |
| 1467615 | Medicaid | ND | |
| 1469028 | Medicaid | ND | |
| 1470224 | Medicaid | ND | |
| 1480766 | Medicaid | ND | |
| 1452184 | Medicaid | ND | |
| 1454835 | Medicaid | ND | |
| 1480013 | Medicaid | ND | |
| 1468739 | Medicaid | ND | |
| 1459139 | Medicaid | ND | |
| 1461503 | Medicaid | ND | |
| 1465117 | Medicaid | ND | |
| 1465122 | Medicaid | ND | |
| 1466654 | Medicaid | ND | |
| 1474097 | Medicaid | ND | |
| 1454897 | Medicaid | ND | |
| 1459816 | Medicaid | ND | |
| 1477950 | Medicaid | ND | |
| 1477997 | Medicaid | ND | |
| 1452040 | Medicaid | ND | |
| 1463121 | Medicaid | ND | |
| 1464384 | Medicaid | ND | |
| 1464388 | Medicaid | ND | |
| 1480833 | Medicaid | ND | |
| 1454300 | Medicaid | ND | |
| 1466867 | Medicaid | ND | |
| 1468069 | Medicaid | ND | |
| 1469164 | Medicaid | ND | |
| 1476591 | Medicaid | ND | |
| 1477752 | Medicaid | ND | |
| 1450786 | Medicaid | ND | |
| 1452036 | Medicaid | ND | |
| 1454142 | Medicaid | ND | |
| 1477918 | Medicaid | ND | |
| 1481160 | Medicaid | ND |
| Provider Name | Courtney Kraft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093289241 PECOS PAC ID: 8123369071 Enrollment ID: I20190403000925 |
| Provider Name | Alyssa Turner-strong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588262778 PECOS PAC ID: 2365854163 Enrollment ID: I20210125001534 |
| Provider Name | Cherae C Reeves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891465704 PECOS PAC ID: 2668879289 Enrollment ID: I20210924001285 |
| Provider Name | Brianna Peterman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467123042 PECOS PAC ID: 4587052501 Enrollment ID: I20211025001982 |
| Provider Name | Crystal Baerwald |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588144539 PECOS PAC ID: 1153660030 Enrollment ID: I20220228000302 |
| Provider Name | Hannah E Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487179578 PECOS PAC ID: 2163801234 Enrollment ID: I20220620001885 |
| Provider Name | Peyton Taylor Boom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760228472 PECOS PAC ID: 4688115330 Enrollment ID: I20240920002094 |
| Provider Name | Gabrielle M Furman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750123964 PECOS PAC ID: 6406397157 Enrollment ID: I20240920002106 |
| Provider Name | Serena E Ratzlaff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871334607 PECOS PAC ID: 8527509280 Enrollment ID: I20240920002381 |
| Provider Name | Brianna Lynn Mittelsteadt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922460757 PECOS PAC ID: 0840731485 Enrollment ID: I20240923001632 |
| Provider Name | Heather S Arnt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538287305 PECOS PAC ID: 2466844378 Enrollment ID: I20241011000261 |
| Provider Name | Kelli Katharina Ellenbaum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003934878 PECOS PAC ID: 1557753464 Enrollment ID: I20241015001224 |
| Provider Name | Amber R Fox |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750566618 PECOS PAC ID: 0244766442 Enrollment ID: I20241211003287 |
Missouri River Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 425 E Avenue C, Bismarck, ND 58501 Phone: 701-712-9962 | |
We Thrive Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 Burnt Boat Dr Ste 104, Bismarck, ND 58503 Phone: 701-751-1006 | |
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 | |
Whole Person Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Summit Boulevard, Bismarck, ND 58504 Phone: 701-224-1261 | |
Therapeutic Trauma And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 La Paz Ave, Bismarck, ND 58503 Phone: 701-595-2414 | |
Thrive Child & Family Therapy Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Main Ave Ste 102, Bismarck, ND 58501 Phone: 701-989-0210 |