HUMAN SERVICE AGENCY NPI 1720074644

NPI Information

NPI: 1720074644
Provider Name: HUMAN SERVICE AGENCY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
123 19TH ST NE
WATERTOWN, SD
ZIP 57201
Phone: (605) 886-0123
Get Directions

HUMAN SERVICE AGENCY is an addiction (substance use disorder) counselor in Watertown, SD. HUMAN SERVICE AGENCY NPI is 1720074644. The provider is registered as an organization entity type.

The provider's business location address is:

123 19TH ST NE
WATERTOWN, SD
ZIP 57201-823
Phone: (605) 886-0123
Fax: (605) 886-5447

The provider's authorized official is Charles F Sherman .
The authorized official title is Ceo and has the following contact phone number (605) 886-0123.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 12/23/2014.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	006	SOUTH DAKOTA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	704	SOUTH DAKOTA	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		006	SOUTH DAKOTA	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		704	SOUTH DAKOTA	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		006	SOUTH DAKOTA	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		704	SOUTH DAKOTA	No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	006	SOUTH DAKOTA	No
8	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	704	SOUTH DAKOTA	No
9	101Y00000X	Counselor		006	SOUTH DAKOTA	No
10	103T00000X	Psychologist		006	SOUTH DAKOTA	No
11	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	704	SOUTH DAKOTA	No
12	101YA0400X	Counselor	Addiction (Substance Use Disorder)	704	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
1	5261010	MEDICAID	SOUTH DAKOTA
2	69994	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
3	5255010	MEDICAID	SOUTH DAKOTA
4	5256010	MEDICAID	SOUTH DAKOTA
5	5001040	MEDICAID	SOUTH DAKOTA
6	5200010	MEDICAID	SOUTH DAKOTA
7	0180020	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: 11/14/2023

NPI Synchronization or Removal

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