Holli Archuletta, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86731516327 Issued in ND

Practice address

1463 I94 Business Loop E
Dickinson, ND 58601-6434

Phone

(701) 227-7500

Fax

(701) 227-7575

NPI assigned

Apr 23, 2015

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Badlands Human Service CenterGroup PAC ID 9739085499, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harchuletta@summitcounselinginc.org

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.

• Badlands Behavioral Health Clinic

  dba Badlands HSC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dickinson, ND
  • NPI 1124072525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1265829675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 I94 BUSINESS LOOP E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016434",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 I94 BUSINESS LOOP E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016434",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 1st St E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586015266",
            "country_code": "US",
            "telephone_number": "701-751-0299",
            "fax_number": "701-713-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHULETTA",
        "first_name": "HOLLI",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "86731516327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harchuletta@summitcounselinginc.org",
            "affiliation": "N",
            "endpointDescription": "Organization e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 1st St E Ste 102",
            "city": "Dickinson",
            "state": "ND",
            "country_code": "US",
            "postal_code": "586015266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia W Anderson, MD
• Rose Anderson, RBT
• Suzy Anderson
• Tamala M Anderson, FNP
• Katelyn Diane Antonsen, SWLC
• Ross M Argent
• Crystal Lynn Armbrust, RN CDCES
• Wendy Armbrust
• Thomas F Arnold, MD
• Bukola Arogundade, NP

• Professional Counselor in Dickinson, ND
• Providers in Dickinson, 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 Nov 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.