Individual provider Active NPI

Katrina Grace Gustafson, MS IN COUNSELING

  • Marriage & Family Therapist
  • Williston, ND
National Provider Identifier
1922209873
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2026-101 Issued in ND
Practice address
316 2ND Ave W
Williston, ND 58801-2005
Phone
(707) 892-1585
NPI assigned
May 29, 2007
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2026-101 ND Primary

Addresses

Primary practice location

316 2ND Ave W
Williston, ND 58801-2005

Mailing address

316 2ND Ave W
Williston, ND 58801-2005
Phone (707) 892-1585

Other names 1

  • Katie Grace Oliveira Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53302CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Diablo Unified School District PastSince Apr 17, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1922209873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012005",
            "telephone_number": "707-892-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012005",
            "telephone_number": "707-892-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "KATRINA",
        "middle_name": "GRACE",
        "credential": "MS IN COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2026-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "OLIVEIRA",
            "middle_name": "GRACE",
            "credential": "MS IN COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.