Shelby Wipf, | |
14 S Main St Ste 1e, Aberdeen, SD 57401-4189 | |
(605) 225-1010 | |
(605) 725-8055 |
Full Name | Shelby Wipf |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 14 S Main St Ste 1e, Aberdeen, 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 |
---|---|---|---|
1740882869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC20670 (South Dakota) | Primary |
Entity Name | Northeastern Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801964952 PECOS PAC ID: 0446155816 Enrollment ID: O20031201000100 |
Mailing Address | Practice Location Address |
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Shelby Wipf, 14 S Main St Ste 1e, Aberdeen, SD 57401-4189 Ph: (605) 225-1010 | Shelby Wipf, 14 S Main St Ste 1e, Aberdeen, SD 57401-4189 Ph: (605) 225-1010 |
Taylor A Petersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401 Phone: 605-225-1010 Fax: 605-725-8055 | |
Madalyn Pederson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401 Phone: 605-225-1010 | |
Sheila Snover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Circle Dr, Aberdeen, SD 57401 Phone: 605-225-1010 Fax: 605-725-8057 | |
Amy L Hauge, LPC-MH, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Railroad Ave Se Ste 1, Aberdeen, SD 57401 Phone: 605-725-5505 | |
Nancy Yada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St, Suite 1e, Aberdeen, SD 57401 Phone: 605-225-1010 Fax: 605-225-1017 | |
Reagan M Flamboe, Counselor Medicare: Medicare Enrolled Practice Location: 14 S Main St, Suite 1e, Aberdeen, SD 57401 Phone: 605-225-1010 Fax: 605-225-1017 | |
Megan Hulke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401 Phone: 605-725-4956 Fax: 605-725-8055 |