| Robertson Counseling, LLC | |
|
2400 Burdick Expy E Ste 101 Minot ND 58701-5006 | |
| (701) 335-6005 | |
| (701) 837-9244 |
| Full Name | Robertson Counseling, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 2400 Burdick Expy E Ste 101, Minot, North Dakota |
| Authorized Official Name and Position | Benjamin Robertson (CO-OWNER) |
| Authorized Official Contact | 7013356005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robertson Counseling, LLC 2400 Burdick Expy E Ste 101 Minot ND 58701-5006 Ph: (701) 335-6005 | Robertson Counseling, LLC 2400 Burdick Expy E Ste 101 Minot ND 58701-5006 Ph: (701) 335-6005 |
| NPI Number | 1639716806 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 01/31/2023 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 9133533680 |
|---|---|
| Medicare Enrollment ID | O20210125002945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639716806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
| Provider Name | Thomas J Eick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972544708 PECOS PAC ID: 0941255434 Enrollment ID: I20050317000430 |
| Provider Name | Benjamin H Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912279423 PECOS PAC ID: 7810321049 Enrollment ID: I20191223000286 |
| Provider Name | Rachel a Jean-pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659903094 PECOS PAC ID: 5193117695 Enrollment ID: I20220112002824 |
| Provider Name | Michael E Baggaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235162132 PECOS PAC ID: 9436535747 Enrollment ID: I20221010001519 |
| Provider Name | Summer D Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902423809 PECOS PAC ID: 1052721123 Enrollment ID: I20231205002818 |
| Provider Name | Taylor Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740769496 PECOS PAC ID: 3072950401 Enrollment ID: I20240321001435 |
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