Dakota Institute of Trauma Therapy, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2899 Issued in ND

Legal business name

DAKOTA INSTITUTE OF TRAUMA THERAPY, PC

Practice address

4023 State St
Suite120
Bismarck, ND 58503-0690

Phone

(701) 751-4447

Fax

(701) 751-4471

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Lynnea Jane Ritz, MSW, LICSWNPI 1881705465

Title

Owner

Phone

(701) 426-4398

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Tax ID family

Dakota Institute of Trauma Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dakota Institute of Trauma Therapy

  • Addiction (Substance Use Disorder) Counselor
  • Bismarck, ND
  • NPI 1699123117
  NPD tax ID

Locations

Practitioners 2

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

• Lynnea Jane Ritz, LICSW

  • Social Worker
  • Bismarck, ND
  • NPI 1881705465

  Clinical, ND

  Medicare reassignment NPD Authorized official
• Theresa Magelky, PH.D

  • Psychologist
  • Minot, ND
  • NPI 1508224254

  ND

  Medicare reassignment NPD

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1114286986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 STATE ST",
            "address_2": "SUITE120",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030690",
            "telephone_number": "701-751-4447",
            "fax_number": "701-751-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 STATE ST",
            "address_2": "SUITE120",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030690",
            "telephone_number": "701-751-4447",
            "fax_number": "701-751-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA INSTITUTE OF TRAUMA THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "RITZ",
        "authorized_official_first_name": "LYNNEA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-426-4398",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11755287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP 65336",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253255",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19147",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Family Services
• Dakota Family Services, Inc
• Dakota Foot and Ankle Clinic PC
• Dakota Home Care, Inc.
• Dakota Institute of Trauma Therapy
• Dakota Life Chiropractic, P.C.
• Dakota MRI Center
• Dakota Natural Health Center
• Dakota Osteoporosis Inc
• Dakota Pharmacy of Bismarck Inc

• Clinical Social Worker in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.