Timothy John Eisenzimmer Jr., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1245-10-1-22-629 Issued in ND

Practice address

2910 7TH St SW
Minot, ND 58701-7025

Phone

(701) 833-1246

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Counseling Services, PLLCGroup PAC ID 7315423993, 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 and National Provider Directory roles.

• Sunrise Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minot, ND
  • NPI 1871186726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1942930771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 7TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017025",
            "telephone_number": "701-833-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 7TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017025",
            "telephone_number": "701-833-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENZIMMER",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0019609",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "124510122A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1245-10-1-22-629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Edwards
• Robert Buster Edwards Jr., ED. D.
• Madison Marie Ehlke
• Tracy N Ehlke
• Thomas H Ehrhardt, D.D.S.
• Ryan Richard Ekstrom
• Elise Felicio Behavior and Education Services PLLC
• Ellenbecker Chiropractic, PC
• Amy Lou Ellenbecker, D.C.
• Brianna Marie Ellingson, FNP-C

• Professional Counselor in Minot, ND
• Providers in Minot, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.