OrganizationActive
Clinical Consulting P.C.
NPI 1063813053 · Mental Health Clinic/Center (Including Community Mental Health Center) · Williston, ND
Provider details
- NPI number
- 1063813053
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlotte Ferrell, President(701) 651-6951
- License
- R29630 (ND)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense R29630 (ND)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
322 Main St
Suite 104
Williston, ND 58801-5304
Phone: (701) 651-6951
Street-level locationGet directions
Mailing address
14004 49th St Nw
Williston, ND 58801-8623
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2014-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.