NPIMap

Organization Active NPI

Robertson Counseling, LLC

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1639716806
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBERTSON COUNSELING, LLC
Practice address
2400 Burdick Expy E Ste 101
Minot, ND 58701-5006
Phone
(701) 335-6005
Fax
(701) 837-9244
NPI assigned
Dec 5, 2019
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Benjamin Robertson, LCSWNPI 1912279423
Title
Co-Owner
Phone
(701) 335-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

2400 Burdick Expy E Ste 101
Minot, ND 58701-5006

Mailing address

2400 Burdick Expy E Ste 101
Minot, ND 58701-5006
Phone (701) 335-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125002945 ND Part B Supplier - Clinic/Group Practice 9133533680 Receives reassigned benefits from 6 practitioners
Practice locations: Minot, ND; Williston, ND

National Provider Directory

National Provider Directory

Locations

2400 Burdick Expy E
Ste 101
Minot, ND 58701
Phone (701) 335-6005

720 Western Ave
Ste 205
Minot, ND 58701
Phone (701) 335-6005

3210 27th St W
Ste 104
Williston, ND 58801
Phone (701) 335-6005

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1639716806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BURDICK EXPY E STE 101",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015006",
            "telephone_number": "701-335-6005",
            "fax_number": "701-837-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BURDICK EXPY E STE 101",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015006",
            "telephone_number": "701-335-6005",
            "fax_number": "701-837-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-01-31",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-335-6005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.