Organization Active NPI

Counseling Services of Bemidji

  • Marriage & Family Therapist
  • Bemidji, MN
National Provider Identifier
1053796912
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2912 Issued in MN
Legal business name
COUNSELING SERVICES OF BEMIDJI
Practice address
1008 Paul Bunyan Dr NW Ste 4
Bemidji, MN 56601-2183
Phone
(218) 382-1140
Fax
(218) 828-2137
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Dannielle JohnsonNPI 1932469111
Title
Owner
Phone
(218) 382-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2912 MN Primary

Addresses

Primary practice location

1008 Paul Bunyan Dr NW Ste 4
Bemidji, MN 56601-2183

Mailing address

1008 Paul Bunyan Dr NW Ste 4
Bemidji, MN 56601-2183
Phone (218) 382-1140

National Provider Directory

National Provider Directory

Locations

403 4th St NW
Ste 110
Bemidji, MN 56601
Phone (218) 444-6162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1053796912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PAUL BUNYAN DR NW STE 4",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012183",
            "telephone_number": "218-382-1140",
            "fax_number": "218-828-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PAUL BUNYAN DR NW STE 4",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012183",
            "telephone_number": "218-382-1140",
            "fax_number": "218-828-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF BEMIDJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DANNIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-382-1140"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.