NPIMap

Individual provider Active NPI

Zachariah E Nevland, LAC, LAPC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1356777239
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
973-8-15-18A Issued in ND
Practice address
309 N Mandan St Ste 1
Bismarck, ND 58501-3886
Phone
(701) 323-0924
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1715 ND
Professional Counselor 101YP2500X 973-8-15-18A ND Primary

Addresses

Primary practice location

309 N Mandan St Ste 1
Bismarck, ND 58501-3886

Mailing address

Chambers & Blohm Psychological Services
309 N Mandan St Suite 1
Bismarck, ND 58501
Phone (701) 323-0924

Other practice location 1

513 E Bismarck Expy
Bismarck, ND 58504-6577
Phone (701) 255-2773 ext. 309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1715NDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Hall Youth Services Inc. Past Accepting new patients
Chambers & Blohm Psychological PastSince Jan 2, 2001 Accepting new patients
Krumm & Co., PLLC PastSince Dec 10, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23247/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1356777239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHAMBERS & BLOHM PSYCHOLOGICAL SERVICES",
            "address_2": "309 N MANDAN ST SUITE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-323-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MANDAN ST STE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013886",
            "telephone_number": "701-323-0924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 E Bismarck Expy",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585046577",
            "country_code": "US",
            "telephone_number": "701-255-2773 x309",
            "fax_number": "701-255-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVLAND",
        "first_name": "ZACHARIAH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LAC, LAPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1715",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "973-8-15-18A",
            "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 Mar 19, 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.