Northwest Behavioral Health Clinic
Organization Active NPI Adult Mental Health Clinic/Center · Williston, ND
NPI 1770524613 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1770524613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 1172 (ND)
- Legal business name
- NORTHWEST BEHAVIORAL HEALTH CLINIC
- Practice address
- 316 2ND Ave W
Williston, ND 58801-5218 - Phone
- (701) 774-4600
- Fax
- (701) 774-4620
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Donna Aukland
- Title
- Assistant Cfo - DHS
- Phone
- (701) 328-4924
Corporate family (same tax ID) 3
Practitioners 68
-
Elizabeth Boots, RN
-
Nicole Lynn Erasmus, MSW, LICSW
-
Charlotte Ferrell, FPMHNP
-
Joni Heine, LICSW
-
Stacey L Hunt, PSYD
-
Heather England Kelley, M.A., PSYD.
-
Andrew Rohrich, LAC
-
Melony Ray Sanford, M. ED. LPCC
-
Yawar Abbas, MD
-
Jessica Rose Bodine, LAC
-
Michael Capan, M.D.
-
Tarah E Cavett, LPC
-
Lincoln D. Coombs, PSY.D.
-
Larry Gerard Dauksavage, LCSW
-
Katrina Marie Dedona, PSYD
-
Nicole Delaplane, LCSW
-
Lori Jo Esprit, M.D.
-
Madeline L Free, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041006000330 | ND | Part B Supplier - Clinic/Group Practice | 4183683196 |
Receives reassigned benefits from 67 practitioners Practice locations: Williston, ND |
National Provider Directory
- Tax ID family
- Northwest Human Service Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1172 | ND | |
| Adult Mental Health Clinic/Center | 261QM0850X | 1172 | ND | Yes |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 1172 | ND | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 1172 | ND |
Addresses
Primary practice location
316 2ND Ave W
Williston, ND 58801-5218
Mailing address
316 2ND Ave W
Williston, ND 58801-5218
Phone (701) 774-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156001 | Other | ND | BCBS OF ND |
| 054516 | Medicaid | ND |
Other names
- NWHSC
Other providers in Williston, ND
- Tina M. Nordaune
- Sierra Rivers Nordloef
- North Star Family Clinic PLLC
- Northern Plains Radiation Oncology, P.C.
- Northwest Behavioral Health Clinic
- Northwest Behavioral Health Clinic
- Northwest Human Service Center
- Lynette Roth Nygaard
- Lynn M Nyquist
- Melissa Fae Nystuen
All providers in Williston, ND · Adult Mental Health Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.