Organization Active NPI

Buzick Counseling Services, PLLC

Doing business as Beyond Therapy ND

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1497468821
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BUZICK COUNSELING SERVICES, PLLC
Doing business as
Beyond Therapy ND
Practice address
523 Demers Ave
Grand Forks, ND 58201-4528
Phone
(701) 354-1387
Fax
(701) 291-1882
NPI assigned
Dec 30, 2022
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Amber Buzick, LCSWNPI 1467193987
Title
Owner
Phone
(701) 354-1387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

523 Demers Ave
Grand Forks, ND 58201-4528

Mailing address

523 Demers Ave
Grand Forks, ND 58201-4528
Phone (701) 354-1387

Other practice location 1

4798 Lynnbrook Ln
Grand Forks, ND 58201-2823
Phone (218) 201-1733

Other practice location 2

2125 13th Ave NW
East Grand Forks, MN 56721-1021
Phone (218) 201-1733

Other names 1

  • Beyond Therapy ND Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231130003923 ND Part B Supplier - Clinic/Group Practice 7416305479 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

1395 S Columbia Rd
Ste A
Grand Forks, ND 58201

1395 S Columbia Rd
Ste A217
Grand Forks, ND 58201
Phone (701) 732-3367

523 Demers Ave
Grand Forks, ND 58201
Phone (701) 354-1387

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1497468821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014528",
            "telephone_number": "701-354-1387",
            "fax_number": "701-291-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014528",
            "telephone_number": "701-354-1387",
            "fax_number": "701-291-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4798 Lynnbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582012823",
            "country_code": "US",
            "telephone_number": "218-201-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 13th Ave NW",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211021",
            "country_code": "US",
            "telephone_number": "218-201-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUZICK COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "BUZICK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-354-1387",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Therapy ND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.