Organization Active NPI

Crosspoint Clinic

  • Mental Health Counselor
  • Bismarck, ND
National Provider Identifier
1366916876
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 17, 2019

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.