NYSTROM & ASSOCIATES COUNSELING WI., S.C.
NPI 1104549047
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fargo, ND

Active since September 26, 2022
5354 42ND ST S, FARGO, ND 58104(844) 697-8766 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, Oct 24, 2023, Sep 26, 2022 (3 updates tracked since 2022).

About Nystrom & Associates Counseling Wi., S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NYSTROM & ASSOCIATES COUNSELING WI., S.C. (NPI 1104549047), doing business as Sagent Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Fargo, North Dakota and active in the NPI registry since September 2022. The organization lists Ann Eiden, Vp Of Corporate Services, as its authorized official.

NPPES Registry Identity

NPI1104549047
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNYSTROM & ASSOCIATES COUNSELING WI., S.C.
Location Address5354 42ND ST SFargo, ND 58104-4032
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 379-1750 · Fax (651) 628-0411
Organization SubpartNo
Authorized OfficialAnn EidenVp Of Corporate Services · (651) 379-1750
Enumeration DateSeptember 26, 2022
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1104549047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5354 42ND ST S, Fargo, ND 58104

Other Names 1

Doing Business AsSagent Behavioral Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nystrom & Associates Counseling Wi., S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Nystrom & Associates Counseling Wi., S.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor8
Clinical Social Worker4
Nurse Practitioner4
Certified Clinical Nurse Specialist (CNS)1
Marriage and Family Therapist1

Clinicians, nearest first (18)

Mental Health Counselor
NPI 1558827188
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOSSame address
Clinical Social Worker
NPI 1255052973
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1831962430
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1679314991
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOSSame address
Mental Health Counselor
NPI 1144071192
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1124736228
5354 42ND ST S STE B
Fargo, ND 58104
(701) 501-8014
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1760710784
2405 8TH ST S STE 200
Moorhead, MN 56560
(218) 331-4866
✔ PECOS✔ Accepts Medicare5.1 mi
Mental Health Counselor
NPI 1740862036
2405 8TH ST S STE 200
Moorhead, MN 56560
(651) 529-8315
✔ PECOS✔ Accepts Medicare5.1 mi
Marriage and Family Therapist
NPI 1407271638
2405 8TH ST S STE 200
Moorhead, MN 56560
(218) 331-4866
✔ PECOS5.1 mi
Mental Health Counselor
NPI 1770094229
2405 8TH ST S STE 200
Moorhead, MN 56560
(218) 331-4866
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1609551696
2405 8TH ST S STE 200
Moorhead, MN 56560
(218) 331-4866
✔ PECOS5.1 mi
Nurse Practitioner
NPI 1093777955
13045 FALCON DR STE 100
Baxter, MN 56425
(218) 829-9307
✔ PECOS✔ Accepts Medicare128 mi
Clinical Social Worker
NPI 1659853737
101 DEHLER DR
Sartell, MN 56377
(320) 253-3512
✔ PECOS✔ Accepts Medicare151 mi
Clinical Social Worker
NPI 1255647954
114 MAIN ST N STE 201B
Hutchinson, MN 55350
(320) 753-0778
✔ PECOS✔ Accepts Medicare178 mi
Nurse Practitioner
NPI 1306833348
1900 SILVER LAKE RD NW 110
New Brighton, MN 55112
(651) 628-9566
✔ PECOS✔ Accepts Medicare211 mi
Nurse Practitioner
NPI 1750958674
201 N BROAD ST STE 200
Mankato, MN 56001
(507) 225-1500
✔ PECOS✔ Accepts Medicare229 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1962573394
600 22ND AVE NW SUITE U2
Minot, ND 58703
(701) 721-5143
✔ PECOS✔ Accepts Medicare232 mi
Mental Health Counselor
NPI 1770175358
5354 42ND ST S STE B
Fargo, ND 58104
(701) 941-4503
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nystrom & Associates Counseling Wi., S.C.'s NPI number?

The NPI number for Nystrom & Associates Counseling Wi., S.C. is 1104549047. It was assigned to this organization in the NPPES registry on September 26, 2022. The provider is doing business as Sagent Behavioral Health.

Where is Nystrom & Associates Counseling Wi., S.C. located?

Nystrom & Associates Counseling Wi., S.C. is located at 5354 42nd St S, Fargo, ND 58104. The listed phone number is (844) 697-8766.

What is Nystrom & Associates Counseling Wi., S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Nystrom & Associates Counseling Wi., S.C. enrolled in Medicare?

Yes. Nystrom & Associates Counseling Wi., S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nystrom & Associates Counseling Wi., S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Nystrom & Associates Counseling Wi., S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (8), Clinical Social Worker (4) and Nurse Practitioner (4). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nystrom & Associates Counseling Wi., S.C. accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Nystrom & Associates Counseling Wi., S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nystrom & Associates Counseling Wi., S.C. was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.