Active NPI
Benjamen David Poitra, LPCC
- Professional Counselor
- Belcourt, ND
National Provider Identifier
1841632528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 684-5-1-11-256
- Practice address
- 1300 Hospital Loop
Belcourt, ND 58316 - Phone
- (701) 477-6111
- Fax
- (701) 477-2509
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 684-5-1-11-256 | ND | |
| Professional Counselor | 101YP2500X | 684-5-1-11-256 | ND | Primary |
Addresses
Primary practice location
1300 Hospital Loop
Belcourt, ND 58316
Mailing address
1300 Hospital Loop
Belcourt, ND 58316-9112
Phone (701) 477-6111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1841632528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HOSPITAL LOOP",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583169112",
"telephone_number": "701-477-6111",
"fax_number": "701-477-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL LOOP",
"city": "BELCOURT",
"state": "ND",
"postal_code": "58316",
"telephone_number": "701-477-6111",
"fax_number": "701-477-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POITRA",
"first_name": "BENJAMEN",
"middle_name": "DAVID",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "684-5-1-11-256",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "684-5-1-11-256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belcourt, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.