AMANDA CARTER-BOOMSMA NPI 1992167951

NPI Information

  • NPI: 1992167951
  • Provider Name: AMANDA CARTER-BOOMSMA
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 100 S MAPLE STE 204
    WATERTOWN, SD
    ZIP 57201
  • Phone: (605) 450-5490

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NPI Details

AMANDA CARTER-BOOMSMA is a counselor in Watertown, 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. AMANDA CARTER-BOOMSMA NPI is 1992167951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 S MAPLE STE 204
WATERTOWN, SD
ZIP 57201-772
Phone: (605) 450-5490

The provider's authorized official is Amanda Carter-boomsma .
The authorized official title is Mental Health Counselor and has the following contact phone number (605) 460-1112.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 3/28/2016.

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
1101Y00000XCounselorLPCMH2229SOUTH DAKOTAYes

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: 11/21/2025

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