Organization Active NPI

Courtney's Therapy Services PLLC

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1184469637
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COURTNEY'S THERAPY SERVICES PLLC
Practice address
1324 Sorrento Cir
Bismarck, ND 58501-7776
Phone
(701) 321-2175
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Courtney Jo Burgad-Wifall, LCSW, LICSW, LMACNPI 1568836781
Title
Behavioral Health Therapist
Phone
(701) 321-2175

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1324 Sorrento Cir
Bismarck, ND 58501-7776

Mailing address

1324 Sorrento Cir
Bismarck, ND 58501-7776
Phone (701) 321-2175

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1184469637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 SORRENTO CIR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017776",
            "telephone_number": "701-321-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 SORRENTO CIR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017776",
            "telephone_number": "701-321-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY'S THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BURGAD-WIFALL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "701-321-2175",
        "authorized_official_credential": "LCSW, LICSW, LMAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.