Active NPI
Candace Rivinius, LPCC
- Professional Counselor
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 848-8-15-515
- Practice address
- 4007 State St Ste 20
Bismarck, ND 58503-0637 - Phone
- (701) 751-8060
- Fax
- (701) 751-8060
- NPI assigned
- Oct 26, 2016
- Last updated
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 848-8-15-15 | ND | |
| Professional Counselor | 101YP2500X | 848-8-15-15A | ND | |
| Professional Counselor | 101YP2500X | 848-8-15-515 | ND | Primary |
Addresses
Primary practice location
4007 State St Ste 20
Bismarck, ND 58503-0637
Mailing address
4007 State St Ste 20
Bismarck, ND 58503-0637
Phone (701) 751-8060
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1702 E Main St
Suite 101
Mandan, ND 58554-3818
Phone (701) 751-8060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corner Post Counseling, PLLC | Professional | Current | Accepting new patients |
| New Possibilities | Past | Accepting new patients | |
| Discovery Christian Counseling | Professional | Past | Accepting new patients |
Locations
200 E Main Ave
Ste 202
Bismarck, ND 58501
Phone (701) 400-5472
4007 State St
Ste 20
Bismarck, ND 58503
Phone (701) 751-8060
1702 E Main St
Ste 101
Mandan, ND 58554
Phone (701) 751-8060
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bismarck, ND
- NPI 1316395189
Professional
-
- Professional Counselor
- Bismarck, ND
- NPI 1285147900
-
- Mental Health Counselor
- Bismarck, ND
- NPI 1154808400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1295287183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 STATE ST STE 20",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030637",
"telephone_number": "701-751-8060",
"fax_number": "701-751-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 STATE ST STE 20",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030637",
"telephone_number": "701-751-8060",
"fax_number": "701-751-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVINIUS",
"first_name": "CANDACE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "848-8-15-15",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "848-8-15-15A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "848-8-15-515",
"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 Apr 15, 2025; 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.