Melissa Wiese, LPC, ACT | |
310 S 1st Ave, Sioux Falls, SD 57104-6329 | |
(605) 275-1560 | |
Not Available |
Full Name | Melissa Wiese |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 310 S 1st Ave, 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 |
---|---|---|---|
1134815103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 20736 (South Dakota) | Primary |
Entity Name | Carroll Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255868220 PECOS PAC ID: 9234586264 Enrollment ID: O20231113000850 |
Mailing Address | Practice Location Address |
---|---|
Melissa Wiese, LPC, ACT 310 S 1st Ave, Sioux Falls, SD 57104-6329 Ph: (605) 275-1560 | Melissa Wiese, LPC, ACT 310 S 1st Ave, Sioux Falls, SD 57104-6329 Ph: (605) 275-1560 |
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 |