Individual provider Active NPI

Kerste Decoteau, LPCC

  • Professional Counselor
  • Minot, ND
National Provider Identifier
1104227644
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4856 Issued in MN
Practice address
3015 16TH St SW Apt 207
Minot, ND 58701-6902
Phone
(701) 278-1149
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4856 MN Primary

Addresses

Primary practice location

3015 16TH St SW Apt 207
Minot, ND 58701-6902

Mailing address

3015 16TH St SW Apt 207
Minot, ND 58701-6902
Phone (701) 278-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416003261 MN Practitioner - Mental Health Counselor 9436692993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4700 S Washington St
Suite G
Grand Forks, ND 58201-8155

4700 S Washington St G
Grand Forks, ND 58201-8155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4856MNMDClinical Psychologist

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Robertson Counseling, LLC CurrentSince Apr 28, 2024 Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Oct 28, 2024 Accepting new patients
The Village Family Service Centere Past Accepting new patients

Locations

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

4501 15th Ave SW
Ste 105
Fargo, ND 58103

4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 732-2506

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

2400 Burdick Expy E
Ste 101
Minot, ND 58701
Phone (701) 335-6005

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1104227644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 16TH ST SW APT 207",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016902",
            "telephone_number": "701-278-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 16TH ST SW APT 207",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016902",
            "telephone_number": "701-278-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTEAU",
        "first_name": "KERSTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.