Mary Ellen Smith, MS,NCC,LPC-MH | |
4400 W 69th St, Sioux Falls, SD 57108-8170 | |
(605) 322-4079 | |
(605) 322-4060 |
Full Name | Mary Ellen Smith |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4400 W 69th St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720142730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-MH 2148 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mary Ellen Smith, MS,NCC,LPC-MH 4400 W 69th St, Sioux Falls, SD 57108-8170 Ph: (605) 322-4079 | Mary Ellen Smith, MS,NCC,LPC-MH 4400 W 69th St, Sioux Falls, SD 57108-8170 Ph: (605) 322-4079 |
Susan Lynn Schmeichel Harder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4079 Fax: 605-322-4080 | |
Charles Deridder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105 Phone: 605-336-3230 Fax: 605-977-4405 | |
Sam Booth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 | |
Emily Lynn Lake, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106 Phone: 605-334-7713 | |
Mr. Victor Vincent Bien, MA, NCC, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105 Phone: 605-336-1974 | |
Alyssa Sommer Mendel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 S 1st Ave, Sioux Falls, SD 57104 Phone: 605-275-1328 | |
Kristi Miller, MS LPC MS QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1410 W 25th St, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944 |