Individual provider Active NPI

Rachel B Didier, LCAC, LPC-LPCC

  • Mental Health Counselor
  • Jamestown, ND
National Provider Identifier
1902053895
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1170-12-15-21-553 Issued in ND
Practice address
2605 Circle Drive
Jamestown, ND 58401-2968
Phone
(701) 253-3206
Fax
(701) 253-3748
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1582 ND
Mental Health Counselor 101YM0800X 1170-12-15-21-553 ND Primary

Addresses

Primary practice location

2605 Circle Drive
Jamestown, ND 58401-2968

Mailing address

2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3206

Other practice location 1

300 2nd Ave NW
Jamestown, ND 58401
Phone (701) 252-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260407002823 ND Practitioner - Mental Health Counselor 4587139563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1582NDMDPhysical Therapist

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1902053895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-253-3206",
            "fax_number": "701-253-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DRIVE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-3206",
            "fax_number": "701-253-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave NW",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "ND",
            "postal_code": "58401",
            "country_code": "US",
            "telephone_number": "701-252-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "RACHEL",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCAC, LPC-LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1582",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1170-12-15-21-553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.