Individual provider Active NPI

Candace J Ell

  • Mental Health Counselor
  • Bismarck, ND
National Provider Identifier
1639408016
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1064-5-1-20-479 Issued in ND
Practice address
515 1/2 E Broadway Ave Ste 106
Bismarck, ND 58501-4408
Phone
(701) 751-0443
Fax
(701) 751-1616
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1615 ND
Mental Health Counselor 101YM0800X 1064-5-1-20-479 ND Primary

Addresses

Primary practice location

515 1/2 E Broadway Ave Ste 106
Bismarck, ND 58501-4408

Mailing address

515 1/2 E Broadway Ave Ste 106
Bismarck, ND 58501-4408
Phone (701) 751-0443

Other practice location 1

2401 46th Ave SE Ste 102
Mandan, ND 58554-4829
Phone (701) 957-9822

Other identifiers 1

IdentifierTypeStateIssuer
3000MedicaidND

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
I20240131000015 ND Practitioner - Mental Health Counselor 5698128262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma and Attachment Institute LLCGroup PAC ID 8426584020, 3 clinicians

Practice addresses (Care Compare)

2401 46TH Ave SE
Suite 102
Mandan, ND 58554-4829
Phone (701) 957-9822

314 E Thayer Ave
Suite 222
Bismarck, ND 58501-4018
Phone (701) 391-7399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1615NDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Attachment Institute LLC Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Decoteau Trauma-Informed Care & Practice, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1320 W Century Ave
Bismarck, ND 58503
Phone (701) 751-0443

314 E Thayer Ave
Ste 222
Bismarck, ND 58501
Phone (701) 391-7399

515 E Broadway Ave
Ste 106
Bismarck, ND 58501
Phone (701) 751-0443

2401 46th Ave SE
Ste 102
Mandan, ND 58554
Phone (701) 595-3626

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1639408016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 1/2 E BROADWAY AVE STE 106",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014408",
            "telephone_number": "701-751-0443",
            "fax_number": "701-751-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 1/2 E BROADWAY AVE STE 106",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014408",
            "telephone_number": "701-751-0443",
            "fax_number": "701-751-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 46th Ave SE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585544829",
            "country_code": "US",
            "telephone_number": "701-957-9822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELL",
        "first_name": "CANDACE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1615",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1064-5-1-20-479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.