Melissa Nystuen and Jessica Watterud Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

228 Issued in ND

Legal business name

MELISSA NYSTUEN AND JESSICA WATTERUD COUNSELING SERVICES LLC

Practice address

17 Main St S
Crosby, ND 58730-6319

Phone

(701) 240-5498

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Watterud

Title

LPCC

Phone

(701) 240-5498

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1649727280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "address_2": "17 MAIN ST S",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587306319",
            "telephone_number": "701-240-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST S",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587306319",
            "telephone_number": "701-240-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA NYSTUEN AND JESSICA WATTERUD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "WATTERUD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "701-240-5498"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455961",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Carlyle Haugland
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• Christine Lorraine Knudsvig, ACNP-BC, FNP-BC
• Rachele Ann Krebsbach
• Rebecca Larson
• Melissa Nystuen Counseling Services LLC
• Jean M Nygaard, RNFNP PAC
• Ashley Ann Oltman
• James Richard Pantel, PA-C
• Shelley Lynn Marie Power

• Mental Health Counselor in Crosby, ND
• Providers in Crosby, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.