| Carroll Counseling Services | |
|
5625 S Southeastern Ave Sioux Falls SD 57108-8600 | |
| (605) 271-3441 | |
| (605) 271-4809 |
| Full Name | Carroll Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 5625 S Southeastern Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Alex D Leighton (OFFICE MANAGER) |
| Authorized Official Contact | 6052713441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Counseling Services 5625 S Southeastern Ave Sioux Falls SD 57108-8600 Ph: (605) 271-3441 | Carroll Counseling Services 5625 S Southeastern Ave Sioux Falls SD 57108-8600 Ph: (605) 271-3441 |
| NPI Number | 1255868220 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Medicare PECOS PAC ID | 9234586264 |
|---|---|
| Medicare Enrollment ID | O20231113000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255868220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gretchen Hartmann |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588092084 PECOS PAC ID: 8921445354 Enrollment ID: I20240321001261 |
| Provider Name | Justin Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184193740 PECOS PAC ID: 8527405976 Enrollment ID: I20240321001927 |
| Provider Name | Melissa Wiese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134815103 PECOS PAC ID: 9032556386 Enrollment ID: I20240321002476 |
| Provider Name | Crystal Kapperman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801547062 PECOS PAC ID: 5092152348 Enrollment ID: I20240321002676 |
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