Mandy Anne Herberholz

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1127-5-15-21-524 Issued in ND

Practice address

1110 College Dr Ste 206
Bismarck, ND 58501-1207

Phone

(701) 258-2008

NPI assigned

May 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wild Roots Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Bismarck, ND
  • NPI 1467227850
  NPD Authorized official
• Soul Survivor Counseling Services PC

  • Mental Health Counselor
  • Bismarck, ND
  • NPI 1831502152
  NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1609442995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLLEGE DR STE 206",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011207",
            "telephone_number": "701-258-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLLEGE DR STE 206",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011207",
            "telephone_number": "701-258-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERHOLZ",
        "first_name": "MANDY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1127-5-15-21-524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Alexander Henschel
• Bryon Lee Herbel, M.D.
• Elroy Alan Herbel
• Jordan Rae Herbel, LAC
• Kylie Herberholz
• Karla Marie Herda
• Heringer Dentistry LLC
• Everett E Heringer, DENTIST
• Heritage Pharmacy East Inc
• Heritage Pharmacy East, Inc

• Professional Counselor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.