NPIMap

Organization Active NPI

Center for Emotional Spiritual & Mental Health LLC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1649847831
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CENTER FOR EMOTIONAL SPIRITUAL & MENTAL HEALTH LLC
Practice address
418 E Broadway Ave Ste 7
Bismarck, ND 58501-4086
Phone
(701) 380-5100
NPI assigned
Jun 7, 2021
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Kalee Svoboda
Title
Credentialing Specialist
Phone
(701) 380-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

418 E Broadway Ave Ste 7
Bismarck, ND 58501-4086

Mailing address

418 E Broadway Ave Ste 7
Bismarck, ND 58501-4086
Phone (701) 380-5100

Other practice location 1

709 4th Ave NE
Watford City, ND 58854-7628
Phone (701) 380-5100

National Provider Directory

National Provider Directory

Locations

418 E Broadway Ave
Ste 7
Bismarck, ND 58501
Phone (701) 380-5100

Practitioners & affiliated clinicians

Practitioners 9

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1649847831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-380-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-380-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 4th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Watford City",
            "state": "ND",
            "postal_code": "588547628",
            "country_code": "US",
            "telephone_number": "701-380-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR EMOTIONAL SPIRITUAL & MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SVOBODA",
        "authorized_official_first_name": "KALEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "701-380-5100"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.