LINDA MARIE GROSS LPC-MH QMHP NPI 1306970553

NPI Information

NPI: 1306970553
Provider Name: LINDA MARIE GROSS, LPC-MH, QMHP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
211 N MAIN ST STE 203
SPEARFISH, SD
ZIP 57783
Phone: (605) 559-2006
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Linda Marie Gross, LPC-MH, QMHP is a professional counselor in Spearfish, SD with 29 years of experience. Linda Marie Gross, LPC-MH, QMHP NPI is 1306970553. 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:

211 N MAIN ST STE 203
SPEARFISH, SD
ZIP 57783-646
Phone: (605) 559-2006
Fax: (605) 559-0243

The NPI 1306970553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/21/2019.

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	101YM0800X	Counselor	Mental Health	LPC-MH2054	SOUTH DAKOTA	No
2	101YP2500X	Counselor	Professional	LPC-MH2054	SOUTH DAKOTA	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	5200090	MEDICAID	SOUTH DAKOTA

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: 4/28/2024

NPI Synchronization or Removal

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