Individual provider Active NPI

Nicole Renner, MS, LPCC

  • Mental Health Counselor
  • Bismarck, ND
National Provider Identifier
1124600200
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1126-5-15-21A Issued in ND
Practice address
1401 E Calgary Ave Ste 210
Bismarck, ND 58503-0938
Phone
(701) 502-0502
Fax
(701) 502-0602
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 1126-5-15-21A ND Primary

Addresses

Primary practice location

1401 E Calgary Ave Ste 210
Bismarck, ND 58503-0938

Mailing address

1401 E Calgary Ave Ste 210
Bismarck, ND 58503-0938
Phone (701) 502-0502

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Counseling CurrentSince Sep 3, 2025 Accepting new patients
The Kid'S Therapy Center LLC PastSince May 1, 2021 Accepting new patients

Locations

1401 E Calgary Ave
Ste 210
Bismarck, ND 58503
Phone (701) 502-0502

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 E Calgary Ave
Suite 210
Bismarck, ND 58503-0938
Phone (701) 502-0502

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1124600200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E CALGARY AVE STE 210",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030938",
            "telephone_number": "701-502-0502",
            "fax_number": "701-502-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E CALGARY AVE STE 210",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030938",
            "telephone_number": "701-502-0502",
            "fax_number": "701-502-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "NICOLE",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1126-5-15-21A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.