Anne Yatskis
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1144071192 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1144071192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1377 (ND)
- Practice address
- 5354 42ND St S Ste B
Fargo, ND 58104-4032 - Phone
- (701) 501-8014
- Fax
- (701) 941-4504
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nystrom and Associates Counseling Wi SC
Practice addresses (Care Compare)
5354 42ND St S
Suite B
Fargo, ND 58104-4032
Phone (701) 941-4503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812001065 | MN | Practitioner - Mental Health Counselor | 2466950100 | Reassigns benefits to 1 organization |
| I20250815001233 | ND | Practitioner - Mental Health Counselor | 2466950100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services Inc. | Current |
Accepting new patients | |
| Nystrom & Associates Counseling Wi., S.C. | Current |
Accepting new patients | |
| Nystrom & Associates, LTD | Current |
Accepting new patients |
Locations
203 14th St NE
East Grand Forks, MN 56721
Phone (218) 693-2014
2405 8th St S
Ste 200
Moorhead, MN 56560
Phone (218) 331-4866
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
5354 42nd St S
Ste B
Fargo, ND 58104
Phone (701) 501-8014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1377 | ND | Yes |
Addresses
Primary practice location
5354 42ND St S Ste B
Fargo, ND 58104-4032
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
Other providers in Fargo, ND
- Domenica Mabel Yanez Arroyo
- Tong Yang
- Alex Daniel Yanish
- Gokul Yaratha
- Emily Victoria Yates
- Cindy Lee Yeager
- Brittany Marie Yellow Bird
- Breona Yeomans
- Jazmin Ivette Yepez Kuri
- Yet Counseling, PLLC
All providers in Fargo, ND · Professional Counselor 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 Aug 29, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.