Individual provider Active NPI

Justus Lee Garneau

  • Professional Counselor
  • Beach, ND
National Provider Identifier
1730755653
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1155-9-15-21 Issued in ND
Practice address
67 1St St SE
Beach, ND 58621
Phone
(701) 872-6152
NPI assigned
Jun 1, 2021
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1155-9-15-21 ND Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

67 1St St SE
Beach, ND 58621

Mailing address

PO Box 562
Beach, ND 58621-0562
Phone (701) 872-6152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250527001404 ND Practitioner - Mental Health Counselor 5698294387 Reassigns benefits to 1 organization
I20260203000730 MT Practitioner - Mental Health Counselor 5698294387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities North DakotaGroup PAC ID 3476565573, 3 clinicians

Practice addresses (Care Compare)

119 1St Ave SW
Wibaux, MT 59353-8005
Phone (701) 872-6152

5201 Bishops Blvd S
Suite B
Fargo, ND 58104-7605
Phone (701) 235-4457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
1Up Counseling Professional CurrentSince Dec 1, 2025 Accepting new patients
Catholic Charities North Dakota CurrentSince Apr 1, 2025 Accepting new patients
1Up Counseling Professional CurrentSince Jun 8, 2025 Accepting new patients
Home on the Range PastSince Jun 1, 2021 Accepting new patients

Locations

710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833

5201 Bishops Blvd S
Ste B
Fargo, ND 58104
Phone (701) 235-4457

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1730755653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "586210562",
            "telephone_number": "701-872-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 1ST ST SE",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "58621",
            "telephone_number": "701-872-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNEAU",
        "first_name": "JUSTUS",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1155-9-15-21",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beach, ND

Sources for this page

Verify at the official NPI Registry.