Individual provider Active NPI

Nancy Lynn Haugrose Mickelson, MRC,LPCC,NCC

  • Mental Health Counselor
  • Minot, ND
National Provider Identifier
1114651403
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1010-6-1-19-481 Issued in ND
Practice address
104 20TH Ave SW Ste 4
Minot, ND 58701-6572
Phone
(701) 721-0711
NPI assigned
Jul 12, 2022
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1010-6-1-19-481 ND Primary

Addresses

Primary practice location

104 20TH Ave SW Ste 4
Minot, ND 58701-6572

Mailing address

104 20TH Ave SW Ste 4
Minot, ND 58701-6572
Phone (701) 721-0711

Other names 1

  • Nancy Lynn Ahmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20250821005046 ND Practitioner - Mental Health Counselor 1456851617 Practice locations: Minot, ND

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 20TH Ave SW
Suite 4
Minot, ND 58701-6572
Phone (701) 721-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Mickelson Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Medcanvas Psychiatry PLLC PastSince Jul 17, 2022 Accepting new patients

Locations

104 20th Ave SW
Ste 4
Minot, ND 58701
Phone (307) 448-0376

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1114651403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 20TH AVE SW STE 4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016572",
            "telephone_number": "701-721-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 20TH AVE SW STE 4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016572",
            "telephone_number": "701-721-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGROSE MICKELSON",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "MRC,LPCC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1010-6-1-19-481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "AHMANN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.