Organization Active NPI

Calm Therapy Place, PLLC

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1356928741
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALM THERAPY PLACE, PLLC
Practice address
1821 Burdick Expy W Ste C
Minot, ND 58701-5667
Phone
(701) 852-7171
Fax
(701) 852-7121
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Ms. Rochelle Renee Nyberg, LCSWNPI 1609964238
Title
Authorized Official/Owner
Phone
(701) 852-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1821 Burdick Expy W Ste C
Minot, ND 58701-5667

Mailing address

1821 Burdick Expy W Ste C
Minot, ND 58701-5667
Phone (701) 852-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823002482 ND Part B Supplier - Clinic/Group Practice 4981009347 Receives reassigned benefits from 1 practitioner
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

1821 Burdick Expy W
Ste C
Minot, ND 58701
Phone (701) 852-7171

2201 15th St SW
Ste LL1
Minot, ND 58701
Phone (701) 852-7171

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1356928741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BURDICK EXPY W STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015667",
            "telephone_number": "701-852-7171",
            "fax_number": "701-852-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BURDICK EXPY W STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015667",
            "telephone_number": "701-852-7171",
            "fax_number": "701-852-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM THERAPY PLACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "701-852-7171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.