Individual provider Active NPI

Gerald Allen Stenehjem, LCSW

  • Mental Health Counselor
  • Williston, ND
National Provider Identifier
1740437516
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
848 LCSW Issued in MT
Practice address
316 2ND Ave W
Williston, ND 58801-5218
Phone
(701) 774-4600
Fax
(701) 774-4620
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 848 LCSW MT Primary

Addresses

Primary practice location

316 2ND Ave W
Williston, ND 58801-5218

Mailing address

PO Box 1266
Northwest Human Services Center
Williston, ND 58802-1266
Phone (701) 774-4600

Other identifiers 2

IdentifierTypeStateIssuer
0000070836OtherMTBLUE CROSS-SHIELD OF MONTANA PROVIDER #
P00718779 C01340OtherMTRAILROAD MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
848 LCSWMTMDMental Health Counselor
4419NDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Mental Health PastSince Apr 22, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1740437516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "address_2": "NORTHWEST HUMAN SERVICES CENTER",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021266",
            "telephone_number": "701-774-4600",
            "fax_number": "701-774-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015218",
            "telephone_number": "701-774-4600",
            "fax_number": "701-774-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENEHJEM",
        "first_name": "GERALD",
        "middle_name": "ALLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "848 LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA PROVIDER #",
            "identifier": "0000070836",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00718779   C01340",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.