GYPSY PETZ NPI 1427517507

NPI Information

NPI: 1427517507
Provider Name: GYPSY PETZ
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1218 BLUEBELL LN
CUSTER, SD
ZIP 57730
Phone: (605) 920-1032
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Gypsy Petz is a counselor in Custer, SD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Gypsy Petz NPI is 1427517507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1218 BLUEBELL LN
CUSTER, SD
ZIP 57730-455
Phone: (605) 920-1032

The enumeration date for this NPI number is 3/18/2019 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC20921	SOUTH DAKOTA	No
2	101Y00000X	Counselor		1464	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1464	OTHER	WYOMING	LPC
2	LPC20921	OTHER	SOUTH DAKOTA	BOARD OF COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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