Clinical Consulting P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R29630 Issued in ND

Legal business name

CLINICAL CONSULTING P.C.

Practice address

322 Main St
Suite 104
Williston, ND 58801-5304

Phone

(701) 651-6951

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Ferrell

Title

President

Phone

(701) 651-6951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1063813053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 49TH ST NW",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588018623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "address_2": "SUITE 104",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015304",
            "telephone_number": "701-651-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-651-6951"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ND",
            "license": "R29630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danilynn Marie Clark, LAC
• Leeann Clark
• Susan Marie Clark, BA
• Vontisha Shavron Clark
• Kassandra Cachet Clarys
• Cheyenne Rose Clinton
• Rebecca Clouse
• William E Code, MD
• Carly Lynn Collings, LBSW
• Complete Health PC (Dakota Back and Neck)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williston, ND
• Providers in Williston, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.