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Soul Survivor Counseling Services PC

NPI 1831502152ActiveOrganization· Counselor, Mental Health· Bismarck, ND

Counselor, Mental Health in Bismarck, North Dakota, registered in NPPES in June 2014. The authorized official on file is Andrea Martin, LPC, LPCC, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1831502152
StatusActive
Entity typeOrganization
NPI issuedJun 4, 2014
Last updated in NPPESOct 18, 2022
Certified by providerOct 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X260-1-1-93-5TND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ND)

Medicare sources and data years

Other mental health counselors in Bismarck

All 80 mental health counselors in Bismarck · All mental health counselors in North Dakota