Individual provider Active NPI

Jessica Herold

  • Case Manager/Care Coordinator
  • Bismarck, ND
National Provider Identifier
1689140733
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208
Phone
(701) 328-8888
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208

Mailing address

1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208

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
I20250206000917 ND Practitioner - Clinical Social Worker 0648700674 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Badlands Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Northeast Human Service Center CurrentSince Jan 13, 2025 Accepting new patients
Lake Region Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
West Central Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
North Central Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Northwest Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince Jan 13, 2025 Accepting new patients
Badlands Behavioral Health Clinic PastSince Jan 13, 2025 Accepting new patients

Locations

1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300

1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500

316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600

Organizations & group practices 10

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1689140733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE STE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011208",
            "telephone_number": "701-328-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.