North Dakota superbill and invoice for LPCC, LCSW, LMFT, and psychologists
This page is the same Therapist Invoice Generator generator with North Dakota selected. Out-of-network clients still need a superbill with your NPI, tax ID, North Dakota license number, CPT codes, ICD-10 diagnoses, place of service, and fees. Private-pay clients usually need a simpler invoice — toggle the document type above.
License titles used on North Dakota superbills
Independent counseling in North Dakota is commonly written as LPCC. Also print the letters you actually hold: LPC, LPCC, LCSW, LMFT, Licensed Psychologist. The board to match your number against is the North Dakota Board of Counselor Examiners. License line hint: ND LPCC #.
North Dakota uses LPC / LPCC tiers. Independent clinicians typically list LPCC.
Telehealth coding (national rules, used in North Dakota)
In-office sessions use place of service 11 and no telehealth modifier. Video visits with the client at home use POS 10 and modifier 95. If the client is not at home, use POS 02. Audio-only, when the payer allows it, is modifier 93. Do not pair POS 11 with modifier 95.
Sales tax on therapy in North Dakota
Professional mental health services are generally exempt from North Dakota sales tax. This generator defaults tax to zero. Add a note, not a tax engine, if your situation is unusual (retail products, groups billed as events, etc.).
Interstate compacts (verify before you practice)
- Counseling Compact: Enacted (confirm if privileges are live)
- PSYPACT (psychologists): Active
- Social Work Compact: Enacted (confirm if privileges are live)
Enacted is not the same as operational. A compact privilege does not replace documenting the license or privilege you used on the date of service.
Any unique North Dakota field?
No. Standard NPI, taxonomy, POS, CPT, and ICD-10 are sufficient for commercial OON superbills.
What to put on a North Dakota superbill
- Your legal name, LPCC or other credential, practice address, phone
- NPI (Type 1) and EIN or SSN as tax ID
- North Dakota license number as printed by the North Dakota Board of Counselor Examiners
- Client name, date of birth, member ID if they want reimbursement
- Each date of service, POS, CPT (90834 / 90837 / 90791 are the usual set), ICD-10, fee, amount paid
Orientation only — not billing, tax, or legal advice. Payer rules beat this page.
North Dakota private-practice clinicians use superbills for out-of-network (OON) insurance reimbursement and invoices for self-pay clients. This generator builds either document in the browser—no PHI upload—and downloads a PDF with rendering credential, North Dakota license number, NPI, CPT, ICD-10, place of service, and payment lines.
Select North Dakota defaults when your rendering authority and the client's location for the session are North Dakota (or another jurisdiction you are lawfully authorized to serve). Match the exact title on your board record. This page is workflow documentation only—not legal, billing, or tax advice.
License titles that belong on the form
North Dakota uses LPC and independent clinical Licensed Professional Clinical Counselor (LPCC) tiers. Independent clinicians typically list LPCC on OON superbills. Print LPC only if that is your current credential.
Other titles commonly used on North Dakota superbills:
- LPC — print the exact letters on your North Dakota license/board record.
- LCSW — print the exact letters on your North Dakota license/board record.
- LMFT — print the exact letters on your North Dakota license/board record.
- Licensed Psychologist — print the exact letters on your North Dakota license/board record.
Exact credential dropdown strings:
`LPC` · `LPCC` · `LCSW` · `LMFT` · `Licensed Psychologist`
Independently licensed clinicians list their own license only. Associates and provisionally licensed clinicians must use the associate/provisional title and should identify the supervisor when a payer asks. Do not put the independent title on the form during a supervised period.
Board, license number, lookup
Counselor licenses are issued by the North Dakota Board of Counselor Examiners (NDBCE). Use the board's official directory/tools to verify status and copy the license number exactly. Social work, MFT, and psychology verify through their respective ND boards.
Official verification: https://www.ndbce.org/. Copy the license number exactly as shown. The generator hint ND LPCC # is a placeholder—replace it with your real board number. Include individual NPI (and group NPI if applicable) plus EIN/SSN as the payer requires.
Interstate practice: Counseling Compact / PSYPACT / SW compact
Snapshot for 2026-09-14 (always re-check official maps):
- Counseling Compact — enacted (not yet operational for privileges). North Dakota appears on counselingcompact.gov/map/compact-states. Privileges are usable only when both home and remote states are live/operational—check the current live list before relying on a privilege.
- PSYPACT — yes. North Dakota participates for psychologists who hold required ASPPB authorizations (E.Passport / TAP as applicable). Confirm on psypact.gov. PSYPACT does not authorize counselor, social work, or MFT practice.
- Social Work Licensure Compact — enacted. North Dakota is listed on swcompact.org/compact-jurisdictions. Multistate social work licenses are not yet being issued while the commission implements its data system.
Verify before you rely on it. Compact membership and privilege systems change. This page's flags are for generator defaults only.
Telehealth + place of service
For video psychotherapy superbills, use the place-of-service codes payers expect:
- POS 10 — patient at home
- POS 02 — telehealth other than home
- Modifier 95 — when the plan wants synchronous telemedicine marked
Do not code a video-only session as POS 11. A North Dakota license, a live Counseling Compact privilege naming North Dakota (when operational), or another lawful authorization must cover the client's location. Put your licensed practice address on the form even when the session is remote.
Sales tax on therapy invoices
North Dakota sales tax generally applies to tangible personal property and certain taxable services. Professional mental health counseling/psychotherapy is generally exempt. Leave tax at $0 on clinical invoices. Confirm with the North Dakota Office of State Tax Commissioner if you sell goods.
How to fill the North Dakota generator
- Choose Superbill or Invoice.
- Set jurisdiction to ND.
- Enter rendering name; select LPCC (default) or another credential you currently hold from the dropdown.
- Complete practice demographics, NPI, tax ID, and North Dakota board license number.
- Add client member ID / DOB only if needed for the OON claim.
- Enter DOS, CPT, ICD-10, units, fees, and payments.
- Telehealth: POS 10 or 02; modifier 95 when required.
- Keep sales tax aligned with North Dakota rules (see tax section)—usually $0 on therapy-only fees unless local advice says otherwise.
- Download the PDF locally—nothing is uploaded.
Two worked North Dakota examples
North Dakota runs a two-tier counseling license — LPC and the independent clinical LPCC — through its own dedicated Board of Counselor Examiners, and most private-practice superbills should carry the clinical tier. The two documents below come from a fictional Fargo practice: one private-pay invoice, one out-of-network superbill. All identifiers are placeholders.
Example 1 — an in-office private-pay North Dakota invoice
An LPCC sees a self-pay client for weekly 60-minute sessions in the office. No insurer is involved, so the document is an invoice — services, dates, charges, payments — and the diagnosis column can stay empty.
| Date of service | Service | CPT | POS | Charge | Paid |
|---|---|---|---|---|---|
| May 7 | Individual psychotherapy, 60 min | 90837 | 11 | $150.00 | $150.00 |
| May 14 | Individual psychotherapy, 60 min | 90837 | 11 | $150.00 | $150.00 |
| May 21 | Individual psychotherapy, 60 min | 90837 | 11 | $150.00 | $150.00 |
| May 28 | Individual psychotherapy, 60 min | 90837 | 11 | $150.00 | $150.00 |
| Sales tax (see below) | $0.00 | ||||
| Total | $600.00 | $600.00 | |||
POS 11 is accurate for office sessions. The tax line stays at $0.00 because professional mental health services are generally exempt from North Dakota sales tax — therapy-only invoices carry no taxable line. The credential is LPCC, North Dakota's independent clinical counseling title, and the license field follows the ND LPCC # hint — copy the number exactly as the NDBCE directory displays it.
Example 2 — a telehealth out-of-network superbill
A second client in Bismarck has a PPO and attends weekly by video from home. The document must satisfy an adjuster's checklist, so it becomes a superbill: the invoice fields plus diagnosis, telehealth coding, and the complete provider identity block.
| Date of service | CPT | Modifier | POS | ICD-10 | Charge | Paid |
|---|---|---|---|---|---|---|
| Aug 12 | 90791 | 95 | 10 | F41.1 | $175.00 | $175.00 |
| Aug 19 | 90837 | 95 | 10 | F41.1 | $150.00 | $150.00 |
| Aug 26 | 90837 | 95 | 10 | F41.1 | $150.00 | $150.00 |
| Sep 2 | 90837 | 95 | 10 | F41.1 | $150.00 | $150.00 |
| Total | $625.00 | $625.00 | ||||
The client joined from home, so POS 10 applies — telehealth from anywhere else would take 02, and 11 would falsely claim an office visit. Modifier 95 marks synchronous telemedicine for the plans that require it. The intake bills 90791; the 60-minute follow-ups bill 90837.
The provider block carries the rendering name with LPCC — the independent clinical tier under the North Dakota Board of Counselor Examiners — plus the license number copied from ndbce.org's official directory, NPI, practice address, and tax ID. Social work, MFT, and psychology credentials verify through their respective North Dakota boards. The paid column is populated because OON reimbursement repays actual expenditures.
Both parties were in North Dakota, so the state license sufficed. North Dakota has enacted the Counseling Compact — privileges require both home and remote states to be live before reliance — and participates in PSYPACT for psychologists holding ASPPB authorizations.
Common mistakes on North Dakota superbills
- Printing LPC when the practice needs LPCC scope. LPC and LPCC are separate tiers; independent clinicians typically list LPCC on OON superbills. Print LPC only if that is your current credential.
- Printing a supervised status as an independent title. Associate and provisional statuses are not LPCC — print the exact credential held and identify the supervisor when the plan asks.
- Verifying other professions on the counselor board. Social workers, MFTs, and psychologists verify through their own North Dakota boards — NDBCE covers counselors.
- Treating enacted compact status as live. North Dakota is a Counseling Compact member, but privileges require operational status on both ends — verify counselingcompact.gov first.
- Coding telehealth as POS 11. Use 10 for a client at home and 02 for telehealth elsewhere. POS 11 describes an office visit.
- Adding a sales-tax line. Professional mental health services are generally exempt from North Dakota sales tax. Leave the line at $0 unless you sell taxable goods.
FAQ
Any unique North Dakota field?
No. Standard NPI, taxonomy, POS, CPT, and ICD-10 are sufficient for commercial OON superbills. Use LPCC when independently licensed.
Is North Dakota in the Counseling Compact?
North Dakota has enacted the compact but is not among the live/operational states as of this retrieval. Privileges work only when both home and remote states are live—check counselingcompact.gov.
Does North Dakota tax therapy sessions?
Professional mental health services are generally exempt from North Dakota sales tax. Leave tax at $0 on session-only invoices unless you sell taxable goods.
Can a North Dakota psychologist use PSYPACT?
North Dakota participates in PSYPACT. You still need active authorizations and must follow Commission rules—verify on psypact.gov.
What do OON payers want on a North Dakota superbill?
Name + North Dakota credential (LPCC or as licensed), board license number, NPI, DOS, CPT, ICD-10, POS, charges, payments, and telehealth modifiers when required.
Why these sources matter
Every factual claim on this page traces back to a primary source: North Dakota Board of Counselor Examiners (NDBCE), the official interstate-compact commissions, and North Dakota's own tax authority. That matters because out-of-network billing guidance ages badly — license titles get renamed, compacts add members, and taxable-service lists get amended. Secondhand summaries lag those changes by months. The links below are the records themselves, with the date each was checked, so you can re-verify anything here before you rely on it for a claim.
References
- Board. Retrieved 2026-09-14. ndbce.org
- License lookup. Retrieved 2026-09-14. ndbce.org
- Counseling Compact jurisdictions. Retrieved 2026-09-14. counselingcompact.gov
- Counseling Compact home (live list). Retrieved 2026-09-14. counselingcompact.gov
- PSYPACT map. Retrieved 2026-09-14. psypact.gov
- Social Work Compact jurisdictions. Retrieved 2026-09-14. swcompact.org
- Social Work Compact news (35 states / AK & WV). Retrieved 2026-09-14. swcompact.org
- Tax. Retrieved 2026-09-14. tax.nd.gov
Disclaimer
Educational formatting only—not legal, billing, tax, or clinical advice. Confirm licensure and telehealth authority with your North Dakota board, compact status with the official commissions, payer rules with the insurer, and tax treatment with the North Dakota tax agency or a qualified preparer.