Mental Health Care in North Dakota

Mental Health Facilities by City in North Dakota

Every North Dakota city with a SAMHSA-listed mental health facility.

Crisis and Support Lines in North Dakota

Call or text 988, or chat at 988lifeline.org, any time. Call or text 988. If additional support is needed, the crisis counselor connects people to a mobile crisis team coordinated through the state's Behavioral Health Clinics (formerly Human Service Centers), which can meet a person at home, work, school, or another location. Crisis facilities in all eight regions take walk-ins 24 hours a day, 7 days a week for a brief screening.

• 2-1-1 Helpline (FirstLink): 2-1-1 · 24 hours a day, seven days week

• North Dakota crisis services

North Dakota's Mental Health Agency

North Dakota Health and Human Services, Behavioral Health Division oversees public mental health services in North Dakota.

• North Dakota Health and Human Services, Behavioral Health Division
• Find local services through North Dakota Health and Human Services, Behavioral Health Division

Medicaid Mental Health Coverage in North Dakota

North Dakota's Medicaid program is North Dakota Medicaid (ND Medicaid), including Medicaid Expansion. For Medicaid Expansion members, questions on services and other support go to Blue Cross Blue Shield of North Dakota Member Services. Regional behavioral health clinics are described as a gateway to home and community-based services, and 1915(i) behavioral health supports and services require a separate application and are coordinated by a care coordinator. Covered mental health services the state names include Individual, family, and group counseling and psychotherapy, Mental health and substance use disorder treatment in outpatient, inpatient, or residential treatment settings, Behavioral and crisis interventions, Home and community-based services (HCBS), Diagnostic testing, psychological testing, psychotherapy and partial hospitalization (specialized behavioral health services), Behavioral health rehabilitative services, Substance use disorder services, including Medication for Opioid Use Disorder (MOUD), Targeted case management for adults with serious mental illness and youth with serious emotional disturbance, Applied Behavior Analysis for youth with autism, Psychiatric residential treatment facilities for members under age 21 and 1915(i) behavioral health supports and services such as peer support, non-medical transportation, housing support, and supported education and employment. Some treatments need a referral or an authorization. Referrals are needed for behavioral health rehabilitative services. Psychiatric residential treatment facility care requires a certificate of need and Medicaid approval. Generally, North Dakota Medicaid cannot pay for residential or in-patient care at residential mental health or SUD treatment facilities with more than 16 beds (the federal Institutions for Mental Disease exclusion); out-patient care may be covered at these facilities.

• North Dakota Medicaid (ND Medicaid), including Medicaid Expansion mental health services
• North Dakota Medicaid behavioral health

Regional Behavioral Health Clinics (Formerly Human Service Centers)

Eight regional behavioral health clinics (Bismarck, Devils Lake, Dickinson, Fargo, Grand Forks, Jamestown, Minot and Williston) offer walk-in assessment and same-day care, 24/7 crisis and residential services, peer support, skill building, and medication and withdrawal services. A sliding fee scale gives a full discount at or below 125% of the 2025 poverty level, dropping in 10% steps to a 10% discount at 200% of the poverty level.

• Regional Behavioral Health Clinics (formerly Human Service Centers) in North Dakota

Check a Therapist's License in North Dakota

Before you start, confirm your therapist or psychologist holds an active North Dakota license.

• Psychologists: North Dakota State Board of Psychologist Examiners
• Professional counselors: North Dakota Board of Counselor Examiners
• Social workers: North Dakota Board of Social Work Examiners
• Marriage and family therapists (LMFT and LAMFT): North Dakota Marriage and Family Therapy Licensure Board

Guides for Your Next Step

See how to find a therapist, how sliding-scale therapy works, whether Medicaid covers therapy and the difference between a psychiatrist and a therapist.

Related on rehab.help: addiction treatment in North Dakota.

Frequently Asked Questions