Active NPI
Crosspoint Clinic
- Mental Health Counselor
- Bismarck, ND
National Provider Identifier
1366916876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CROSSPOINT CLINIC
- Practice address
- 4719 Shelburne St Ste 11
Bismarck, ND 58503-5676 - Phone
- (701) 204-6353
- Fax
- (701) 390-1863
- NPI assigned
- Jan 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Mitzel, LPCC
- Title
- Clinical Counselor
- Phone
- (701) 204-6353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4719 Shelburne St Ste 11
Bismarck, ND 58503-5676
Mailing address
4719 Shelburne St Ste 11
Bismarck, ND 58503-5676
Phone (701) 204-6353
National Provider Directory
National Provider DirectoryLocations
4719 Shelburne St
Ste 11
Bismarck, ND 58503
Phone (701) 204-6353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547683200000",
"number": "1366916876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 SHELBURNE ST STE 11",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035676",
"telephone_number": "701-204-6353",
"fax_number": "701-390-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 SHELBURNE ST STE 11",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035676",
"telephone_number": "701-204-6353",
"fax_number": "701-390-1863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSPOINT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-17",
"last_updated": "2019-01-17",
"status": "A",
"authorized_official_last_name": "MITZEL",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CLINICAL COUNSELOR",
"authorized_official_telephone_number": "701-204-6353",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.