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KATRINA GRACE GUSTAFSON MS IN COUNSELING
NPI 1922209873
Marriage & Family Therapist in Williston, ND

Active since May 29, 2007PECOS Enrolled
316 2ND AVE W, WILLISTON, ND 58801(707) 892-1585 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2020, Nov 21, 2015 (2 updates tracked since 2015).

About Katrina Grace Gustafson Ms In Counseling NPPES

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

KATRINA GRACE GUSTAFSON MS IN COUNSELING (NPI 1922209873) is an individual marriage & family therapist in Williston, North Dakota, licensed in North Dakota (2026-101) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922209873
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATRINA GRACE GUSTAFSONCredential: MS IN COUNSELING
Location Address316 2ND AVE WWilliston, ND 58801-2005
Mailing Address316 2nd Ave WWilliston, ND 58801-2005 · (707) 892-1585
Phone(707) 892-1585
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1922209873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in ND · 2026-101
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
316 2ND AVE W, Williston, ND 58801
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Other Names 1

Other Name (5)Katie Grace Oliveira Ms In Counseling

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Grace Gustafson Ms In Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800356403
PECOS Enrollment IDI20260902003633
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.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Behavioral Health Clinic
Same address
Adult Mental Health
316 2ND AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Northwest Human Service Center
  • 69 clinicians in this Medicare group
NPI 1770524613 (701) 774-4600

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

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.

MS. ELIZABETH LARK BAUM MSW
Social Worker
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
KASIA BREANN JOHNSON
Specialist
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
ELIZABETH ANN SKOV FPMHNP
Nurse Practitioner
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
KELVIN HAZANGWI
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
BRITTANY MITCHELL LCSW
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
MR. TERRY L GOLDADE LICSW
Social Worker (Clinical)
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
MR. DENNIS L OMVIG LSW
Social Worker
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600
LEAH LEAK
Case Manager/Care Coordinator
316 2ND AVE W
WILLISTON, ND 58801
Williams County (701) 774-4600

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 Katrina Gustafson's NPI number?

The NPI number for Katrina Gustafson is 1922209873. It was assigned to this individual provider in the NPPES registry on May 29, 2007. The provider is also known as Katie Grace Oliveira Ms In Counseling.

Where is Katrina Gustafson located?

Katrina Gustafson practices at 316 2nd Ave W, Williston, ND 58801. The listed phone number is (707) 892-1585.

What is Katrina Gustafson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Katrina Gustafson enrolled in Medicare?

Yes. Katrina Gustafson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katrina Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Gustafson reassigns Medicare benefits to Northwest Behavioral Health Clinic (Williston, ND). The 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 Katrina Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katrina Gustafson was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.