KATYA MICKELSON MA
NPI 1750061842
Psychologist in Grand Forks, ND

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201(701) 780-6821(701) 780-1973 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katya Mickelson Ma NPPES

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

KATYA MICKELSON MA (NPI 1750061842) is an individual psychologist in Grand Forks, North Dakota, licensed in North Dakota (ND1019) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2024).

NPPES Registry Identity

NPI1750061842
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATYA MICKELSONCredential: MA
Location Address3535 S 31ST ST STE 201Grand Forks, ND 58201-3593
Mailing Address3535 S 31st St Ste 201Grand Forks, ND 58201-3593 · (701) 780-6821 · Fax (701) 780-1973
Fax(701) 780-1973
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2024
Enumeration DateJuly 24, 2023
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1750061842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ND · ND1019
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.
3535 S 31ST ST STE 201, Grand Forks, ND 58201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katya Mickelson Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567944499
PECOS Enrollment IDI20260228001022
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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Social Worker
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Counselor (Professional)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Social Worker
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Counselor (Professional)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201

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 Katya Mickelson's NPI number?

The NPI number for Katya Mickelson is 1750061842. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Katya Mickelson located?

Katya Mickelson practices at 3535 S 31st St Ste 201, Grand Forks, ND 58201. The listed phone number is (701) 780-6821.

What is Katya Mickelson's specialty?

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

Is Katya Mickelson enrolled in Medicare?

Yes. Katya Mickelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katya Mickelson was last updated on February 16, 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.