Organization Active NPI

Mundahl & Andes PLLC

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1821755059
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MUNDAHL & ANDES PLLC
Practice address
1616 Capitol Way Ste B
Bismarck, ND 58501-2100
Phone
(307) 277-3619
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Sarah Andes, LCSWNPI 1366007288
Title
Co-Owner
Phone
(701) 751-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1616 Capitol Way Ste B
Bismarck, ND 58501-2100

Mailing address

1616 Capitol Way Ste B
Bismarck, ND 58501-2100
Phone (701) 751-1145

Other names 1

  • Comfy Couch Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220114001785 ND Part B Supplier - Clinic/Group Practice 7517359912 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

1616 E Capitol Way
Ste B
Bismarck, ND 58501
Phone (307) 277-3619

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1821755059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CAPITOL WAY STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012100",
            "telephone_number": "701-751-1145",
            "fax_number": "701-751-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CAPITOL WAY STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012100",
            "telephone_number": "307-277-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDAHL & ANDES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ANDES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-751-1145",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfy Couch Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.