NORTHEASTERN SOUTH DAKOTA MENTAL HEALTH CENTER NPI 1801964952

NPI Information

NPI: 1801964952
Provider Name: NORTHEASTERN SOUTH DAKOTA MENTAL HEALTH CENTER

Doing Business As: NORTHEASTERN MENTAL HEALTH CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
14 S MAIN ST
SUITE 1E
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-1010
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NORTHEASTERN SOUTH DAKOTA MENTAL HEALTH CENTER is a mental health counselor in Aberdeen, SD. NORTHEASTERN SOUTH DAKOTA MENTAL HEALTH CENTER NPI is 1801964952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northeastern Mental Health Center.

The provider's business location address is:

14 S MAIN ST
SUITE 1E
ABERDEEN, SD
ZIP 57401-136
Phone: (605) 225-1010
Fax: (605) 225-1017

The provider's authorized official is Joseph G Manuel .
The authorized official title is Executive Director and has the following contact phone number (605) 225-1010.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/10/2014.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YP2500X	Counselor	Professional	No
4	101YS0200X	Counselor	School	No
5	104100000X	Social Worker		No
6	1041C0700X	Social Worker	Clinical	No
7	1041S0200X	Social Worker	School	No
8	106H00000X	Marriage & Family Therapist		No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	363L00000X	Nurse Practitioner		No
11	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
12	101YM0800X	Counselor	Mental Health	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	5256030	MEDICAID	SOUTH DAKOTA
2	5200030	MEDICAID	SOUTH DAKOTA
3	5255030	MEDICAID	SOUTH DAKOTA
4	0000108	OTHER	SOUTH DAKOTA	BCBS WELLMARK
5	108	MEDICARE PIN	SOUTH DAKOTA
6	5261030	MEDICAID	SOUTH DAKOTA
7	CP7629	OTHER	SOUTH DAKOTA	RAILROAD MEDICARE
8	9236729	OTHER	SOUTH DAKOTA	DAKOTACARE

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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