Nystrom & Associates Counseling Wi., S.C.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND
NPI 1104549047 · NPPES record last updated May 18, 2026
Key facts
- NPI
- 1104549047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- NYSTROM & ASSOCIATES COUNSELING WI., S.C.
- Practice address
- 5354 42ND St S
Fargo, ND 58104-4032 - Phone
- (844) 697-8766
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Ann Eiden
- Title
- VP of Corporate Services
- Phone
- (651) 379-1750
Other NPIs with the same Medicare PAC ID 1
Practitioners 191
-
Caylor Hunt, LPC
-
Shandra Schulz, LCSW
-
Pamela Sue Walls, APRN, BC
-
Katelyn Sofia Yliniemi, LPCC
-
Candis S Astolfi, LICSW
-
Matthew Rask, LAPC
-
Laura Lee Stresow, RN CNP
-
Sophie Wamre, LPCC
-
Molly A Hirsch, LPCC
-
Austin Williams, LPCC
-
Jamie Kay Conrath, DNP-PMHNP-BC
-
Krista Koshiol, MSW, LICSW
-
Erin Saladin, MS, LMFT
-
Courtney K Sedgwick, LICSW, LCSW
-
Katherine Lea Staszko, LPCC, LPCC-S
-
Jennifer J Abele, M.S.
-
Anne M Allen, LMFT
-
Nicole Anderson, APRN, CNP
-
Jeffrey Beirow, LMFT
-
Sara Ann Biddle, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230321002230 | ND | Part B Supplier - Clinic/Group Practice | 1052729464 |
Receives reassigned benefits from 19 practitioners Practice locations: Fargo, ND |
National Provider Directory
Locations
5354 42nd St S
Fargo, ND 58104
Phone (844) 697-8766
19 W 1st St
Fond du Lac, WI 54935
Phone (920) 922-7760
2501 Hanley Rd
Ste 201
Hudson, WI 54016
Phone (534) 544-5247
201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005
1001 Fourier Dr
Ste 200
Madison, WI 53717
Phone (608) 740-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
5354 42ND St S
Fargo, ND 58104-4032
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 379-1750
Other names
- Sagent Behavioral Health
Other providers in Fargo, ND
- Curtis C Nyhus
- Paige Nyland
- Collin Andrew Nylander
- Katie Nylander
- Elizabeth Nymberg
- Ellen Nystrom
- Katie J Nystuen
- O.M.S. Associates LTD
- Olga I O'Brien
- Rachel Maree O'Brien
All providers in Fargo, ND · Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.