Individual provider Active NPI

Jennifer Hiatt, LCSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1962169151
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4567 Issued in ND
Practice address
418 E Rosser Ave Ste 104
Bismarck, ND 58501-4046
Phone
(701) 751-1220
Fax
(701) 751-4050
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4567 ND Primary

Addresses

Primary practice location

418 E Rosser Ave Ste 104
Bismarck, ND 58501-4046

Mailing address

418 E Rosser Ave Ste 104
Bismarck, ND 58501-4046
Phone (701) 751-1220

Other names 1

  • Jennifer Hiatt Professional name

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
I20220128001751 ND Practitioner - Clinical Social Worker 4587056379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healthy Minds Therapy PLLCGroup PAC ID 8628432556, 2 clinicians

Practice addresses (Care Compare)

418 E Rosser Ave
Suite 104
Bismarck, ND 58501-4046
Phone (701) 428-1452

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Therapy PLLC CurrentSince Sep 3, 2024 Accepting new patients

Locations

418 E Rosser Ave
Ste 104
Bismarck, ND 58501
Phone (701) 428-1452

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1962169151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E ROSSER AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014046",
            "telephone_number": "701-751-1220",
            "fax_number": "701-751-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ROSSER AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014046",
            "telephone_number": "701-751-1220",
            "fax_number": "701-751-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HIATT",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.