| Engage Services, Llc | |
|
110 State St Plankinton SD 57368-5736 | |
| (605) 682-9258 | |
| (605) 734-8113 |
| Full Name | Engage Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 State St, Plankinton, South Dakota |
| Authorized Official Name and Position | Jonathan J Busch (OWNER) |
| Authorized Official Contact | 6059906500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Engage Services, Llc Po Box 65 Plankinton SD 57368-0065 Ph: (605) 682-9258 | Engage Services, Llc 110 State St Plankinton SD 57368-5736 Ph: (605) 682-9258 |
| NPI Number | 1124515218 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 02/05/2025 |
| Medicare PECOS PAC ID | 6901322833 |
|---|---|
| Medicare Enrollment ID | O20250424000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124515218 | NPI | - | NPPES |
| 2013822 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2422 (South Dakota) | Primary |
| Provider Name | Jonathan Jay Busch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417208380 PECOS PAC ID: 2264339621 Enrollment ID: I20250501000372 |
| Provider Name | Micah W Heeren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922666247 PECOS PAC ID: 4688183635 Enrollment ID: I20250602002914 |
| Provider Name | Tamara Jean Pickart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033659743 PECOS PAC ID: 3072024348 Enrollment ID: I20250613002033 |