Active NPI
Stormie Flick
- Professional Counselor
- Minot, ND
National Provider Identifier
1629649744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1140-7-1-21A
- Practice address
- 1015 S Broadway Ste 18
Minot, ND 58701-4667 - Phone
- (701) 857-8500
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- 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 | 1140-7-1-21A | ND | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1015 S Broadway Ste 18
Minot, ND 58701-4667
Mailing address
1015 S Broadway Ste 18
Minot, ND 58701-4667
Phone (701) 857-8500
Other names 1
- Stormie Atkinson/Trevillian
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 |
|---|---|---|---|---|
| I20240402002371 | ND | Practitioner - Mental Health Counselor | 3779921309 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Human Service Center
Practice addresses (Care Compare)
1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Behavioral Health Clinic | Current | Accepting new patients |
Locations
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
Organizations & group practices 1
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": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1629649744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S BROADWAY STE 18",
"city": "MINOT",
"state": "ND",
"postal_code": "587014667",
"telephone_number": "701-857-8500",
"fax_number": "701-857-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S BROADWAY STE 18",
"city": "MINOT",
"state": "ND",
"postal_code": "587014667",
"telephone_number": "701-857-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICK",
"first_name": "STORMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1140-7-1-21A",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STORMIE",
"last_name": "ATKINSON/TREVILLIAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.