Active NPI
Heidi Eckroth, LMSW, MSW
- Clinical Social Worker
- Bismarck, ND
National Provider Identifier
1922630532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5870
- Practice address
- 1701 S 12TH St
Bismarck, ND 58504-6644 - Phone
- (701) 334-6242
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5870 | ND | Primary |
Addresses
Primary practice location
1701 S 12TH St
Bismarck, ND 58504-6644
Mailing address
3111 E Broadway Ave
Bismarck, ND 58501-5085
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckroth Counseling, PLLC | Current | Accepting new patients | |
| Summit Counseling Inc | Clinical | Past | Accepting new patients |
| The Kid's Therapy Center LLC | Past | Accepting new patients |
Locations
2905 Jude Ln NW
Mandan, ND 58554
Phone (701) 226-8270
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mandan, ND
- NPI 1750196721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Williston, ND
- NPI 1427593698
Clinical
-
- Community/Behavioral Health Agency
- Bismarck, ND
- NPI 1528309846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1922630532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585015085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 12TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046644",
"telephone_number": "701-334-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKROTH",
"first_name": "HEIDI",
"credential": "LMSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "5870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.