Active NPI
Kayla Liebelt
- Counselor
- Minot, ND
National Provider Identifier
1700679149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 143751525A
- Practice address
- 2400 Burdick Expy E Ste 101
Minot, ND 58701-5006 - Phone
- (701) 335-6005
- NPI assigned
- May 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 143751525A | ND | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143751525A | ND | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robertson Counseling, LLC | Current | Accepting new patients |
Locations
2400 Burdick Expy E
Ste 101
Minot, ND 58701
Phone (701) 335-6005
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Minot, ND
- NPI 1639716806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1700679149",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBELT",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ND",
"license": "143751525A",
"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 May 28, 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.