KATHERINE EBACK
NPI 1417410275
Counselor - Professional in Williston, ND
Active since April 09, 2019
About Katherine Eback NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE EBACK (NPI 1417410275) is an individual professional provider in Williston, North Dakota, licensed in North Dakota (993-3-1-19-496) and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1417410275
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE EBACK
Location Address316 2ND AVE WWilliston, ND 58801-5218
Mailing Address5147 44th St SFargo, ND 58104-6069 · (701) 226-0848
Phone(701) 302-8888
Sole ProprietorYes
Enumeration DateApril 9, 2019
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1417410275 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 993-3-1-19-496
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 993-3-1-19-496 (ND)
316 2ND AVE W, Williston, ND 58801
Other Names 1
Former Name (1)Katherine Eick
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
316 2ND AVE W
WILLISTON, ND 58801
WILLISTON, ND 58801
Counselor (Addiction (Substance Use Disorder))
316 2ND AVE W
WILLISTON, ND 58801
WILLISTON, ND 58801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417410275, enumerated as an "individual" on April 09, 2019.
The provider is located at 316 2ND AVE W WILLISTON, ND 58801 and the phone number is (701) 302-8888.
Counselor with taxonomy code 101YP2500X and a focus in Professional.