Carissa Cullum Ferdinand, MA, LAPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2201 36TH Ave SW Ste B
Minot, ND 58701-7593

Phone

(701) 837-9801

Fax

(701) 425-0606

NPI assigned

Jan 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carissa.ferdinand.1@27120.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minot Center for Pediatric Therapy

  • Speech-Language Pathologist
  • Minot, ND
  • NPI 1821353848
  NPD
• Psychiatric and Psychological Specialties

  • Clinical Psychologist
  • Saint Joseph, MI
  • NPI 1548672728
  NPD
• Psychiatric Specialties, PLC

  • Psychiatry Physician
  • Saint Joseph, MI
  • NPI 1841321072
  NPD
• Chatter, LLC

  • Speech-Language Pathologist
  • Williston, ND
  • NPI 1942686860
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1255082848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "CARISSA",
        "middle_name": "CULLUM",
        "name_prefix": "Mrs.",
        "credential": "MA, LAPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Feldmann, RPH
• Elise Ivonne Felicio
• Colleen Leatha Feller, PTA
• Sheryl K Fenner
• Trisha J Fennern, NP-C
• Lesley Anne Fettig, OTR
• William Luke Fielhaber, D.C
• Katherine Rachel Filkins, MSW
• Jeremy Lee Finch
• First Choice Physical Therapy, Inc

• Professional Counselor in Minot, ND
• Providers in Minot, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.