Pospishil and Associates, PLLC

Key facts

NPI: 1134426463
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
License: 41 (ND)
Legal business name: POSPISHIL AND ASSOCIATES, PLLC
Practice address: 1425 21St Ave NW
Minot, ND 58703-0816
Phone: (701) 858-0888
NPI assigned: Feb 23, 2011
Organization subpart: No

Authorized official

Name: Charles F Pospishil, LICSW NPI 1871680488
Title: Clinical Social Worker
Phone: (701) 858-0888

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

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

701Pospishil & Associates, PLLC Community/Behavioral Health Agency · Minot, ND · NPI 1396144366

NPD tax ID

Practitioners 6

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

Charles F Pospishil, LICSW Clinical Social Worker · Minot, ND · NPI 1871680488

Medicare reassignment NPD Authorized official CLINICAL · ND
Cimberly Faye Berg-Hooker, FNP-BC Nurse Practitioner · Westhope, ND · NPI 1497224224

NPD (past)
Mark E Koivula, FNP-C Family Nurse Practitioner · Bottineau, ND · NPI 1265660740

NPD (past)
Brenda Marquardt, A.N.P. Family Nurse Practitioner · Bottineau, ND · NPI 1831196732

NPD (past)
Sandra Jean Storey, FNP-C Family Nurse Practitioner · Minot, ND · NPI 1417364126

NPD (past)
Chassidy Sharp, NP Family Nurse Practitioner · Durham, NC · NPI 1720475767

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ND

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20150122000578	ND	Part B Supplier - Clinic/Group Practice	3375867351	Receives reassigned benefits from 1 practitioner Practice locations: Bottineau, ND; Minot, ND

National Provider Directory

Tax ID family: 701Pospishil Associates PLLC (2 organizations share this tax ID)

Locations

516 Main St
Bottineau, ND 58318
Phone (701) 245-6638

1425 21st Ave NW
Minot, ND 58703
Phone (701) 839-8887

1135 2nd Ave W
Williston, ND 58801
Phone (701) 572-7650

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	1041C0700X	41	ND	Yes

Addresses

Primary practice location

1425 21St Ave NW
Minot, ND 58703-0816

Mailing address

PO Box 427
Minot, ND 58702-0427
Phone (701) 858-0888

Other identifiers

Identifier	Type	State	Issuer
1396144366	Medicaid	ND

Other names

North Plains Consultants Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2016.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1134426463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587020427",
            "telephone_number": "701-858-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 21ST AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030816",
            "telephone_number": "701-858-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSPISHIL AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "POSPISHIL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "701-858-0888",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396144366",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Plains Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minot, ND

All providers in Minot, ND · Clinical Social Worker 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 Jan 6, 2016. 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.

Verify at the official NPI Registry.