Matthew Stewart Baumgartner, LPC
Individual provider Active NPI Professional Counselor · Minot, ND
NPI 1154967016 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1154967016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1039-11-19 (ND)
- Practice address
- 6301 19TH Ave NW
Minot, ND 58703-8899 - Phone
- (701) 852-3628
- Fax
- (701) 852-1190
- NPI assigned
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Solutions Behavioral Healthcare Professionals PC
Practice addresses (Care Compare)
4503 Coleman St
Suite 203
Bismarck, ND 58503-2017
Phone (701) 412-2973
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20240827004102 | ND | Practitioner - Mental Health Counselor | 9830638444 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Behavioral Healthcare Professionals, PC | Current |
Accepting new patients |
Locations
1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113
4503 Coleman St
Ste 203
Bismarck, ND 58503
Phone (701) 412-2973
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1039-11-19 | ND | Yes |
Addresses
Primary practice location
6301 19TH Ave NW
Minot, ND 58703-8899
Mailing address
1237 W Divide Ave
Bismarck, ND 58501-1220
Phone (701) 368-8418
Other providers in Minot, ND
- Bethany Ann Bartuska
- Colton Lyle Bartuska
- Haley Bass
- Shatasha Bastian-Coleman
- Beverly Bauer
- Nichole Bazille
- Be Well Adjusted, PC
- Sierra Lynn Beardsworth
- Malorie Beaton
- Sabrina Ann Beaulac
All providers in Minot, 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 Nov 4, 2021. 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.