Nystrom & Associates Counseling Wi., S.c.
NPI 1104549047 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nystrom & Associates Counseling Wi., S.c. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fargo, ND (NPI 1104549047).
Provider details
- NPI number
- 1104549047
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Eiden, Vp of Corporate Services(651) 379-1750
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Sagent Behavioral Health
Registry dates
- Enumerated
- 2022-09-26
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Nystrom & Associates Counseling Wi., S.c.'s NPI number?
- Nystrom & Associates Counseling Wi., S.c.'s National Provider Identifier (NPI) is 1104549047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nystrom & Associates Counseling Wi., S.c.?
- Nystrom & Associates Counseling Wi., S.c. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Nystrom & Associates Counseling Wi., S.c. located?
- Nystrom & Associates Counseling Wi., S.c.'s practice location on file with NPPES is 5354 42nd St S, Fargo, ND 58104-4032.
- What is Nystrom & Associates Counseling Wi., S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Nystrom & Associates Counseling Wi., S.c. is (844) 697-8766.
- Does Nystrom & Associates Counseling Wi., S.c. accept Medicare?
- Nystrom & Associates Counseling Wi., S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nystrom & Associates Counseling Wi., S.c.?
- The authorized official listed on Nystrom & Associates Counseling Wi., S.c.'s NPPES record is Ann Eiden, Vp of Corporate Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nystrom & Associates Counseling Wi., S.c.'s NPI active?
- Yes — Nystrom & Associates Counseling Wi., S.c.'s NPI (1104549047) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.