Individual provider Active NPI

Alysse Elizabeth Papic Zellner, MA

  • Counselor
  • Dickinson, ND
National Provider Identifier
1386493393
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
140412124A Issued in ND
Practice address
135 Sims St Ste 202
Dickinson, ND 58601-5148
Phone
(701) 380-7057
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 140412124A ND Primary

Addresses

Primary practice location

135 Sims St Ste 202
Dickinson, ND 58601-5148

Mailing address

1521 13TH St W
Dickinson, ND 58601-3549
Phone (701) 690-2760

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
140412124ANDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1386493393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 13TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013549",
            "telephone_number": "701-690-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SIMS ST STE 202",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015148",
            "telephone_number": "701-380-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPIC ZELLNER",
        "first_name": "ALYSSE",
        "middle_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "140412124A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.