Individual provider Active NPI

Trista Schander

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1578971941
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
794-7-15-14A Issued in ND
Practice address
1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220
Phone
(701) 328-8888
Fax
(701) 328-8900
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 794-7-15-14A ND Primary

Addresses

Primary practice location

1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220

Mailing address

1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220
Phone (701) 328-8888

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
I20240224000326 ND Practitioner - Mental Health Counselor 6103261672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Human Service CenterGroup PAC ID 6002801107, 16 clinicians

Practice addresses (Care Compare)

1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1208
Phone (701) 328-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Behavioral Health Clinic CurrentSince Jan 1, 2024 Accepting new patients
Badlands Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
Badlands Behavioral Health Clinic Past Accepting new patients

Locations

1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1578971941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "address_2": "SUITE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011220",
            "telephone_number": "701-328-8888",
            "fax_number": "701-328-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "address_2": "SUITE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011220",
            "telephone_number": "701-328-8888",
            "fax_number": "701-328-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANDER",
        "first_name": "TRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "794-7-15-14A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.