Organization Active NPI

Nancy Mickelson

  • Mental Health Counselor
  • Minot, ND
National Provider Identifier
1679453260
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NANCY MICKELSON
Practice address
104 20TH Ave SW Ste 4
Minot, ND 58701-6572
Phone
(701) 721-0711
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Nancy Lynn Mickelson, MRC,LPCC,NCC
Title
Provider/Owner
Phone
(701) 721-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

104 20TH Ave SW Ste 4
Minot, ND 58701-6572

Mailing address

104 20TH Ave SW Ste 4
Minot, ND 58701-6572
Phone (701) 721-0711

National Provider Directory

National Provider Directory

Locations

104 20th Ave SW
Ste 4
Minot, ND 58701
Phone (307) 448-0376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1679453260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 20TH AVE SW STE 4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016572",
            "telephone_number": "701-721-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 20TH AVE SW STE 4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016572",
            "telephone_number": "701-721-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MICKELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "701-721-0711",
        "authorized_official_credential": "MRC,LPCC,NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 4, 2025; 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.