Melissa Nystuen Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4400 Issued in ND

Legal business name

MELISSA NYSTUEN COUNSELING SERVICES LLC

Practice address

17 South Main Street
Crosby, ND 58730

Phone

(701) 641-1465

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa F Nystuen, LICSWNPI 1538504782

Title

Clinical Therapist

Phone

(701) 641-1465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Fae Nystuen, LCSW

  • Clinical Social Worker
  • Williston, ND
  • NPI 1538504782
  Medicare reassignment NPD Authorized official
• Jessica Watterud, LPCC

  • Mental Health Counselor
  • Crosby, ND
  • NPI 1114293941
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1467900209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300136",
            "telephone_number": "701-641-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SOUTH MAIN STREET",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "58730",
            "telephone_number": "701-641-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA NYSTUEN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "NYSTUEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "701-641-1465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Co Drug Inc (J Co Drug)
• Christine Lorraine Knudsvig, ACNP-BC, FNP-BC
• Rachele Ann Krebsbach
• Rebecca Larson
• Melissa Nystuen and Jessica Watterud Counseling Services LLC
• Jean M Nygaard, RNFNP PAC
• Ashley Ann Oltman
• James Richard Pantel, PA-C
• Shelley Lynn Marie Power
• Samantha Pulvermacher

• Community/Behavioral Health Agency in Crosby, ND
• Providers in Crosby, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.