Community Counseling Service | |
357 Kansas Ave Se Huron SD 57350-2517 | |
(605) 352-8596 | |
(605) 352-7001 |
Full Name | Community Counseling Service |
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Speciality | Counselor |
Location | 357 Kansas Ave Se, Huron, South Dakota |
Authorized Official Name and Position | Shelly Rotert (ACCOUNTS RECEIVABLE) |
Authorized Official Contact | 6053528596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Counseling Service 357 Kansas Ave Se Huron SD 57350-2517 Ph: (605) 352-8596 | Community Counseling Service 357 Kansas Ave Se Huron SD 57350-2517 Ph: (605) 352-8596 |
NPI Number | 1932167277 |
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Provider Enumeration Date | 05/03/2006 |
Last Update Date | 08/09/2022 |
Certification Date | 08/09/2022 |
Medicare PECOS PAC ID | 9133111875 |
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Medicare Enrollment ID | O20040401000727 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932167277 | NPI | - | NPPES |
S69975 | Other | SD | GROUP MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2 (South Dakota) | Secondary |
101YM0800X | Counselor - Mental Health | 1 (South Dakota) | Primary |
Provider Name | Tammy T Dramstad |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649380148 PECOS PAC ID: 1153327929 Enrollment ID: I20061018000648 |
Provider Name | Clay J Pavlis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20070806000592 |
Provider Name | James L Chiu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124347265 PECOS PAC ID: 1951531771 Enrollment ID: I20140923001047 |
Provider Name | Kelly J Mcdermott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114386794 PECOS PAC ID: 7214226430 Enrollment ID: I20160511001762 |
Provider Name | Ashley Frankfurth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427421452 PECOS PAC ID: 4981996113 Enrollment ID: I20160708001646 |
Provider Name | Whitney Kroupa |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205200243 PECOS PAC ID: 6002100278 Enrollment ID: I20160810002313 |
Provider Name | Abbey J Kitto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578934394 PECOS PAC ID: 3274834650 Enrollment ID: I20170314001572 |
Provider Name | Kelsey Mesman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649753294 PECOS PAC ID: 5698014280 Enrollment ID: I20190226001183 |
Provider Name | Jessica A Sopko |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851856314 PECOS PAC ID: 0941549406 Enrollment ID: I20190227001177 |
Provider Name | Tammy Jo Vande Kamp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427417898 PECOS PAC ID: 4981947595 Enrollment ID: I20190523000726 |
Provider Name | Brian Ruben Brandt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629612148 PECOS PAC ID: 3072948298 Enrollment ID: I20200127002036 |
Provider Name | Diane M Teadtke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881233070 PECOS PAC ID: 7719317452 Enrollment ID: I20200421003128 |
Provider Name | Holly K Sathoff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801545330 PECOS PAC ID: 7214314558 Enrollment ID: I20220506001184 |
Provider Name | Jessica M Baum |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609208230 PECOS PAC ID: 3375985765 Enrollment ID: I20240530003694 |
Provider Name | Allie N Murphy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033990734 PECOS PAC ID: 9335681212 Enrollment ID: I20240606002511 |
True Reflections Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2297 Kansas Ave Se Ste 5, Huron, SD 57350 Phone: 605-212-7326 |