Active NPI
Wayne Michael Jundt
- Mental Health Counselor
- Bismarck, ND
National Provider Identifier
1073430716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63-3-8-91
- Practice address
- 500 E Front Ave Ste 102
Bismarck, ND 58504-5689 - Phone
- (701) 975-6400
- NPI assigned
- Jul 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63-3-8-91 | ND | Primary |
Addresses
Primary practice location
500 E Front Ave Ste 102
Bismarck, ND 58504-5689
Mailing address
3202 84TH Ave NE
Bismarck, ND 58503-6332
Phone (701) 975-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 E Front Ave
Bismarck, ND 58504-5689
6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1073430716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 84TH AVE NE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585036332",
"telephone_number": "701-975-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E FRONT AVE STE 102",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585045689",
"telephone_number": "701-975-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNDT",
"first_name": "WAYNE",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "63-3-8-91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.