Individual provider Active NPI

Robin Janiece Landwehr, LPCC

  • Professional Counselor
  • Grand Forks, ND
National Provider Identifier
1265879480
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
773-2-15-14-261 Issued in ND
Practice address
212 S 4TH St; Ste 200 - Spectra Health
Grand Forks, ND 58201
Phone
(701) 757-2800
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 773-2-15-14-261 ND
Professional Counselor 101YP2500X 773-2-15-14-261 ND Primary

Addresses

Primary practice location

212 S 4TH St; Ste 200 - Spectra Health
Grand Forks, ND 58201

Mailing address

212 S 4TH St; Ste 200 - Spectra Health
Grand Forks, ND 58201
Phone (701) 757-2800

Other identifiers 1

IdentifierTypeStateIssuer
1467629MedicaidND

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240208000562 ND Practitioner - Mental Health Counselor 6709229636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectra HealthGroup PAC ID 8022075258, 12 clinicians

Practice addresses (Care Compare)

212 S 4TH St
Suite 200
Grand Forks, ND 58201-4781
Phone 70175721002008

607 Tower Ave
Larimore, ND 58251
Phone (701) 343-6418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Health CurrentSince Jan 1, 2024 Accepting new patients
Spectra Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

212 S 4th St
Ste 301
Grand Forks, ND 58201
Phone (701) 757-2100

212 S 4th St
Ste 200
Grand Forks, ND 58201
Phone (701) 757-2100

607 Towner Ave
Larimore, ND 58251
Phone (701) 318-9399

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1265879480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST; STE 200 - SPECTRA HEALTH",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-757-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST; STE 200 - SPECTRA HEALTH",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-757-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDWEHR",
        "first_name": "ROBIN",
        "middle_name": "JANIECE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "773-2-15-14-261",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "773-2-15-14-261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467629",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.