Individual provider Active NPI

Courtney Govig, LPCC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1437675212
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1016-8-1-19-445 Issued in ND
Practice address
515 1/2 E Broadway Avenue Suite 106
Bismarck, ND 58501
Phone
(701) 751-0443
Fax
(701) 751-1616
NPI assigned
Aug 14, 2017
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1016-8-1-19A ND
Professional Counselor 101YP2500X 1016-8-1-19-445 ND Primary

Addresses

Primary practice location

515 1/2 E Broadway Avenue Suite 106
Bismarck, ND 58501

Mailing address

4830 E Round Up
Bismarck, ND 58503
Phone (701) 426-1703

Other identifiers 2

IdentifierTypeStateIssuer
1528309846MedicaidND
1480330MedicaidND

Other names 1

  • Courtney Schaner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000093 ND Practitioner - Mental Health Counselor 2163866617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Decoteau Trauma-Informed Care & Practice, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Courtney Govig Counseling, PLLC Professional Current Accepting new patients
The Kid's Therapy Center LLC PastSince Dec 1, 2019 Accepting new patients

Locations

1320 W Century Ave
Bismarck, ND 58503
Phone (701) 751-0443

515 E Broadway Ave
Ste 106
Bismarck, ND 58501
Phone (701) 751-0443

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1437675212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 E ROUND UP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-426-1703",
            "fax_number": "888-901-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 1/2 E BROADWAY AVENUE SUITE 106",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-751-0443",
            "fax_number": "701-751-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVIG",
        "first_name": "COURTNEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1016-8-1-19A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1016-8-1-19-445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528309846",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1480330",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SCHANER",
            "credential": "LPPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.