Active NPI
Matthew Hammerschmidt, LPC/LPCC
- Professional Counselor
- Bismarck, ND
National Provider Identifier
1558047902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1299-6-1-23-645
- Practice address
- 2207 E Main Ave
Bismarck, ND 58501-4910 - Phone
- (701) 255-1165
- Fax
- (651) 925-0057
- NPI assigned
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1299-6-1-23A | ND | |
| Professional Counselor | 101YP2500X | 1299-6-1-23-645 | ND | Primary |
Addresses
Primary practice location
2207 E Main Ave
Bismarck, ND 58501-4910
Mailing address
2701 12TH Ave S
Fargo, ND 58103-8753
Phone (701) 451-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1488916 | Medicaid | ND |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120000171 | ND | Practitioner - Mental Health Counselor | 8729570585 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2701 12TH Ave S
Fargo, ND 58103-8753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | Professional | Current | Accepting new patients |
| Village Family Service Center | Current | Accepting new patients |
Locations
2207 E Main Ave
Bismarck, ND 58501
Phone (701) 255-1165
2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865
20 1st St SW
Ste 250
Minot, ND 58701
Phone (701) 852-3328
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
ND, Professional
-
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1952679318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1558047902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 12TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581038753",
"telephone_number": "701-451-4900",
"fax_number": "651-925-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 E MAIN AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014910",
"telephone_number": "701-255-1165",
"fax_number": "651-925-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMERSCHMIDT",
"first_name": "MATTHEW",
"credential": "LPC/LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1299-6-1-23A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1299-6-1-23-645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1488916",
"state": "ND"
}
],
"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 Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.