Mountain-Plains Youth Services Coalition

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAIN-PLAINS YOUTH SERVICES COALITION

Practice address

217 W Rosser Ave
Bismarck, ND 58501-3755

Phone

(701) 255-6909

Fax

(701) 255-3922

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Melanie A Heitkamp, LICSW

Title

Executive Director

Phone

(701) 255-6909

Specialties & licenses 3

Addresses

Other names 1

• Youthworks Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Bohner, LMSW

  • Social Worker
  • Bismarck, ND
  • NPI 1609753425
  NPD
• Amy M Boyd-Bolme, LMSW

  • Social Worker
  • Bismarck, ND
  • NPI 1811746548
  NPD
• Kennedy Drewis, LAPC

  • Professional Counselor
  • Bismarck, ND
  • NPI 1659253169
  NPD
• Sara L Eastman, LMSW

  • Social Worker
  • Bismarck, ND
  • NPI 1033992953
  NPD
• Chelsy Lynn Lafriniere, LAPC

  • Professional Counselor
  • Fargo, ND
  • NPI 1245118876
  NPD
• Nichole Gubbels

  • Addiction (Substance Use Disorder) Counselor
  • Fargo, ND
  • NPI 1124972328

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1306042098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013755",
            "telephone_number": "701-255-6909",
            "fax_number": "701-255-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013755",
            "telephone_number": "701-255-6909",
            "fax_number": "701-255-3922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Main St S Ste 105",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587013956",
            "country_code": "US",
            "telephone_number": "701-837-6519",
            "fax_number": "701-255-3922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 18th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034852",
            "country_code": "US",
            "telephone_number": "701-232-8558",
            "fax_number": "701-255-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN-PLAINS YOUTH SERVICES COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "HEITKAMP",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-255-6909",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youthworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Youthworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles R Motis, LPCC, LAC
• Danielle Motl
• Buffy M Motschenbacher, OTR/L
• Madison Mott
• Shanta Moulton
• Moving Forward Chiropractic PLLC
• Jackie Mrachek, PT
• Marty Mrachek, O.D.
• Kamal K Mubarak, MD
• Emily Frances Mueller, LAC

• Clinical Social Worker in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.