Dickinson Family Counseling Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DICKINSON FAMILY COUNSELING CENTER

Practice address

11 2ND Ave E
Suite B
Dickinson, ND 58601-5218

Phone

(701) 483-9720

Fax

(701) 483-9721

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan M Baer

Title

Business Manager

Phone

(701) 483-9720

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Gerald Mathias Dassinger, LICSW

  • Clinical Social Worker
  • Dickinson, ND
  • NPI 1588860662
  NPD (past)
• Richard N Demolen, PSYD

  • Psychologist
  • Dickinson, ND
  • NPI 1982711867
  NPD (past)
• Regina Marie Murray, LICSW

  • Clinical Social Worker
  • Dickinson, ND
  • NPI 1285602912
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1720054810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 2ND AVE E",
            "address_2": "SUITE B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015218",
            "telephone_number": "701-483-9720",
            "fax_number": "701-483-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 2ND AVE E",
            "address_2": "SUITE B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015218",
            "telephone_number": "701-483-9720",
            "fax_number": "701-483-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-483-9720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013945",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6783-001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Deschamp, COTA-L
• Courtney Deyoung
• Dickinson Area Ambulance Service Inc
• Dickinson Countryhouse LLC
• Dickinson Dental Center, P.C.
• Dickinson Public Schools
• Terris Dietz
• Chelsea McCall Dinius, APRN, CPNP-PC
• Gail D Dockter, MSW
• Shayna R Doerr, M.S.

• Clinical Psychologist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.