Active NPI
Mindy L Skunberg, LAPC
- Professional Counselor
- Jamestown, ND
National Provider Identifier
1962831610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1428-3-1-25A
- Practice address
- 311 1St Ave S Ste 1
Jamestown, ND 58401-4277 - Phone
- (701) 404-0997
- Fax
- (701) 566-8876
- NPI assigned
- Nov 4, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1428-3-1-25A | ND | Primary |
Addresses
Primary practice location
311 1St Ave S Ste 1
Jamestown, ND 58401-4277
Mailing address
6046 14TH St S
Fargo, ND 58104-7226
Phone (701) 404-0997
Other names 1
- Mindy Olson
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Counseling PLLC | Professional | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1700477742
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749859200000",
"number": "1962831610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 14TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047226",
"telephone_number": "701-404-0997",
"fax_number": "701-566-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 1ST AVE S STE 1",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584014277",
"telephone_number": "701-404-0997",
"fax_number": "701-566-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUNBERG",
"first_name": "MINDY",
"middle_name": "L",
"credential": "LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2025-06-14",
"certification_date": "2025-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1428-3-1-25A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "OLSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.