KELSEY KAYE LANG ANDERSON (NPI# 1205103637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205103637 |
| Entity Type | Individual |
| Full Name | KELSEY KAYE LANG ANDERSON |
| Credential | LPCC |
| Practice Address |
1237 W Divide Ave Ste 5 Bismarck ND 58501 |
| Mailing Address |
1237 W Divide Ave Ste 5 Bismarck ND 58501-1208 |
| Practice Telephone | 7013288888 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
605-4-1-08-226 | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
605-4-1-08 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 78021 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 W Main Ave, Suite 350, Bismarck, ND 585013890 | 8006278220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912459686 | Kelsey Anderson | Specialist/Technologist | 1415 Jericho Rdg, New Braunfels, TX 78130-3984 | 2016-10-28 |
| 1487021671 | Kelsey Anderson | Counselor | 16201 90th Street Nw, Suite 200, Otsego, MN 55330 | 2015-08-24 |
| 1679967749 | Kelsey Jean Anderson | Physician Assistant | 768 Country Club Dr, Pawleys Island, SC 29585-8094 | 2015-03-26 |
| 1366879074 | Kelsey Elyse Anderson | Speech-Language Pathologist | 202 Knotty Oak Rd, Coventry, RI 02816-8311 | 2013-09-26 |
| 1457639049 | Kelsey Anderson | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs-8l, Portland, OR 97239-3098 | 2011-07-29 |
| 1861664211 | Kelsey Anderson | Counselor | 401 1st St Ste B104, Princeton, MN 55371-1678 | 2008-03-26 |
| 1851905715 | Kelsey Lee Anderson | Behavioral Analyst | 6369 E Tanque Verde Rd Ste 100, Tucson, AZ 85715-3833 | 2020-09-08 |
| 1326664723 | Kelsey Anderson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-06-22 |
| 1790323954 | Kelsey Hope Anderson | Social Worker | 55 Fruit St, Boston, MA 02114-2621 | 2019-12-18 |
| 1063071231 | Kelsey Nicole Anderson | Physical Therapist | 17134 Bel Ray Pl, Belton, MO 64012-5331 | 2019-06-11 |
| Street Address |
1237 W DIVIDE AVE STE 5 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336228824 | Shannon M Reis | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2006-11-03 |
| 1760081723 | Jessica Schneider | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-10-21 |
| 1598379091 | Alyssa Johnson | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-02 |
| 1316551088 | Samantha Birrenkott | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-01 |
| 1730793480 | Kayla Stastny | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-01 |
| 1720696305 | Tessa Rath | Specialist | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-07-20 |
| 1972126241 | Tami M Mainey | Social Worker | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-21 |
| 1053934604 | Patrick L Joyce | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-18 |
| 1437771441 | Megan J Suchy | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-13 |
| 1881220267 | Brittany Hanson | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110383 | Beacon Counseling Services Pllc | Counselor | 225 Frontage Pl, Bismarck, ND 58501-8606 | 2020-10-08 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1285147900 | Discovery Christian Counseling | Counselor | 1915 N Kavaney Dr Ste 4, Bismarck, ND 58501-1785 | 2017-11-16 |
| 1598202624 | Michelle Marie Richter | Counselor | 1308 Elbowood Ln, Bismarck, ND 58503-5712 | 2017-01-26 |
| 1538549829 | Anna Weisbeck | Counselor | 101 Slate Dr Ste 2, Bismarck, ND 58503-6171 | 2015-06-02 |
| 1790193258 | Christina Michaelson | Counselor | 2207 E Main Ave, Bismarck, ND 58501-4910 | 2014-07-29 |
| 1821329079 | Anna J Thompson | Counselor | 107 W Main Ave Ste 225, Bismarck, ND 58501-3873 | 2010-01-27 |
| 1477786416 | Jennifer Schaible | Counselor | 1915 N Kavaney Dr, Suite 4, Bismarck, ND 58501-1768 | 2009-08-25 |
| 1487862975 | Kirby C Schmidtgall | Counselor | 1009 N 14th St, Bismarck, ND 58501-4246 | 2007-05-18 |
| 1942413968 | Julie Dickerson | Counselor | 3399 Finch Road, Bismarck, AR 71929 | 2007-05-07 |
| Find all providers in BISMARCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.