NPIMap

Organization Active NPI

Meadowlark Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minot, ND
National Provider Identifier
1154028645
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MEADOWLARK COUNSELING PLLC
Doing business as
Meadowlark Counseling PLLC
Practice address
600 22ND Ave NW Ste B4
Minot, ND 58703-0986
Phone
(701) 720-7733
NPI assigned
Feb 14, 2023
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Jennifer Lanae Kizima, LICSW, LMSWNPI 1134549264
Title
Owner, Mental Health Therapist
Phone
(701) 720-7733

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 22ND Ave NW Ste B4
Minot, ND 58703-0986

Mailing address

PO Box 3339
Minot, ND 58702-3339
Phone (701) 720-7733

Other names 1

  • Meadowlark Counseling PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

600 22nd Ave NW
Ste B4
Minot, ND 58703
Phone (701) 314-2509

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1154028645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3339",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587023339",
            "telephone_number": "701-720-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE B4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-720-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "KIZIMA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LANAE",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "701-720-7733",
        "authorized_official_credential": "LICSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowlark Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.