KATELYN ANN MICKELSON
NPI 1427431279
Psychologist in Fargo, ND

Active since June 29, 2015PECOS Enrolled
2400 32ND AVE S, FARGO, ND 58103(701) 234-2000(701) 234-3120 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Jul 14, 2021, Jun 21, 2018 (3 updates tracked since 2018).

About Katelyn Ann Mickelson NPPES

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

KATELYN ANN MICKELSON (NPI 1427431279) is an individual psychologist in Fargo, North Dakota, licensed in North Dakota (622) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427431279
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATELYN ANN MICKELSON
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(701) 234-3120
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1427431279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in ND · 622 Licensed in ND · 609P
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP6215 (MN)
2400 32ND AVE S, Fargo, ND 58103

Other Names 1

Former Name (1)Katelyn Ann Terry

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelyn Ann Mickelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Speech-Language Pathologist
2400 32ND AVE S
FARGO, ND 58103
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103

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 Katelyn Mickelson's NPI number?

The NPI number for Katelyn Mickelson is 1427431279. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Katelyn Ann Terry.

Where is Katelyn Mickelson located?

Katelyn Mickelson practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-2000.

What is Katelyn Mickelson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katelyn Mickelson enrolled in Medicare?

Yes. Katelyn Mickelson is registered in the Medicare PECOS enrollment system.

What insurance does Katelyn Mickelson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Katelyn Mickelson 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 Katelyn Mickelson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.