Benjamin H Robertson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5645 Issued in ND

Practice address

720 Western Ave Ste 205
Minot, ND 58701-3700

Phone

(701) 335-6005

NPI assigned

Jan 30, 2012

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson Counseling LLCGroup PAC ID 9133533680, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robertson Counseling, LLC

  • Clinical Social Worker
  • Minot, ND
  • NPI 1639716806
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1912279423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTERN AVE STE 205",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013700",
            "telephone_number": "701-335-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTERN AVE STE 205",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013700",
            "telephone_number": "701-335-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Onyx St",
            "address_purpose": "LOCATION",
            "city": "Kemmerer",
            "state": "WY",
            "postal_code": "831013214",
            "country_code": "US",
            "telephone_number": "307-877-4496 x3157",
            "fax_number": "307-877-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "31853",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-994",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari L Rist, CRNA
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• Stephanie A Ritter, DDS
• Bruce L Roach, MD
• Robertson Counseling, LLC
• Robin Pursifull LLC
• Dominique Robinson
• Cyara Fay Rodriguez, CNA
• Rosendo Rodriguez Jr.
• Travis J Roedocker, DC

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.