CONNECT US THERAPY
NPI 1265091235
Social Worker - Clinical in Williston, ND

NPI Status: Active since June 12, 2019

Contact Information

2224 1ST AVE W STE 4
WILLISTON, ND
ZIP 58801
Phone: (701) 572-3335
Fax: (701) 572-3337

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  • Organization
  • Social Worker
  • Clinical
  • Accepts Insurance
  • CLIA Number: 35D2246303
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-21-2025

About CONNECT US THERAPY

This page provides the complete NPI Profile along with additional information for Connect Us Therapy, a provider established in Williston, North Dakota operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1265091235 assigned on June 2019. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Connect Us Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Connect Us Therapy. The authorized official of this NPI record is Katie Brianne Shannon Lcsw (Owner)

NPI
1265091235
Provider Legal Name
KATIE SHANNON LICSW LLC
Other Organization Name
CONNECT US THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2224 1ST AVE W STE 4 WILLISTON, ND 58801
Location Phone
(701) 572-3335
Location Fax
(701) 572-3337
Mailing Address
2224 1ST AVE W STE 4 WILLISTON, ND 58801
Mailing Phone
(701) 572-3335
Mailing Fax
(701) 572-3337
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2019
Last Update Date
12-23-2021
Code Navigator

A clinical social worker like Connect Us Therapy is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

  • 810 N Welo St
    Tioga, ND 58852
    (701) 572-3335

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATIE BRIANNE SHANNON LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(701) 572-3335

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D2246303
Facility Type
Community Clinic
Certificate Effective Date
December 22, 2023
Certificate Expiration Date
December 21, 2025
Laboratory Director
MCKENZIE L. MOOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connect Us Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CONNECT US THERAPY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265091235, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 0 + 9 + 2 + 2 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1265091235.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Social Worker (Clinical)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Social Worker (Clinical)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Nurse Practitioner (Psychiatric/Mental Health)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Counselor (Professional)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Counselor (Mental Health)
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Social Worker
2224 1ST AVE W STE 4
WILLISTON, ND 58801
Social Worker
2224 1ST AVE W STE 4
WILLISTON, ND 58801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265091235, enumerated as an "organization" on June 12, 2019.

The provider is located at 2224 1ST AVE W STE 4 WILLISTON, ND 58801 and the phone number is (701) 572-3335.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to verify.