County resource guide
Mercer County, North Dakota
Local providers, school contacts, and support services for autism families in Mercer County. North Dakota statewide resources also apply.
Local providers
10 listedDiagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Washburn · multi-county
Garrison Memorial Hospital — Behavioral Health
Garrison Memorial Hospital in Garrison is the primary healthcare facility for McLean County. Developmental screenings and referrals are available; comprehensive autism evaluations require travel to Bismarck (CHI St. Alexius or Sanford), approximately 45 miles south. Note the proximity of Fort Berthold Indian Reservation (MHA Nation) — tribal IHS programs serve enrolled members.
Fort Berthold Reservation (MHA Nation) is adjacent — tribal IHS and MHA Nation programs serve enrolled members. Bismarck is ~45 min south.
Beulah · multi-county
Sakakawea Medical Center — Behavioral Health
Sakakawea Medical Center in Hazen serves Mercer County in west-central North Dakota's coal country. Developmental screenings and referrals available; comprehensive autism evaluations require travel to Bismarck (CHI St. Alexius or Sanford), approximately 50 miles east. Fort Berthold Reservation is nearby — IHS serves enrolled MHA Nation members.
Coal country. Fort Berthold Reservation proximity — MHA Nation IHS serves enrolled tribal members. Bismarck is ~50 miles east.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Washburn · multi-county
ND Early Intervention Program — McLean County
North Dakota's IDEA Part C Early Intervention Program for McLean County infants and toddlers. Free developmental evaluations and home-based services. Serves both off-reservation families and coordinates with MHA Nation tribal programs for Fort Berthold families.
FREE under IDEA Part C. MHA Nation tribal families: also ask about tribal early intervention programs through MHA Nation.
Beulah · multi-county
ND Early Intervention Program — Mercer County
North Dakota's IDEA Part C Early Intervention Program for Mercer County. Free evaluations and home-based services for children under 3. Coordinates with MHA Nation tribal early intervention for Fort Berthold families.
FREE under IDEA Part C. No referral needed. MHA Nation tribal families: also ask about tribal early intervention programs.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Washburn · multi-county
Step by Step Academy — Telehealth ABA (McLean County)
Telehealth ABA therapy for McLean County families. In-person ABA providers are not available locally; Step by Step Academy and other telehealth BCBAs provide the primary ABA access for rural north-central ND. Accepts ND Medicaid.
ND Medicaid covers ABA. Telehealth is the standard for rural north-central ND. MHA Nation tribal members: contact MHA Nation Health for coordination.
Beulah · multi-county
Step by Step Academy — Telehealth ABA (Mercer County)
Telehealth ABA therapy for Mercer County families in Beulah and Stanton. No local ABA providers; telehealth BCBAs are the primary option. Accepts ND Medicaid. MHA Nation tribal members should also contact tribal health for coordination.
ND Medicaid covers ABA. Telehealth is the standard care model for this rural county.
Parent & family support
Parent groups, sibling programs, and family peer support.
Fargo · multi-county
Autism Society of North Dakota
Statewide autism organization providing peer support and resource navigation for McLean County families. Virtual connections help bridge the geographic isolation of north-central ND.
Fargo · multi-county
Autism Society of North Dakota
Statewide autism organization providing peer support and resource navigation for Mercer County families in west-central ND.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Washburn · multi-county
Pathfinder Services of North Dakota
North Dakota's federally funded PTI providing free IEP advocacy for McLean County families. Phone and remote advocacy is the primary mode for this rural county. MHA Nation tribal families can also contact Pathfinder for guidance on navigating both tribal and state school services.
FREE. Federally funded PTI. Remote/phone support available.
Beulah · multi-county
Pathfinder Services of North Dakota
Free IEP advocacy and parent training for Mercer County families. Phone and remote advocacy primary for this rural west-central ND county.
FREE. Federally funded PTI.
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Waivers, PTI centers, and state programs apply to all families in North Dakota.
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