| Kimberly Ann Ammann, LPC-MH | |
| 
					600 4th St Ne Ste 203, Watertown, SD 57201-1898  | |
| (605) 886-5262 | |
| (605) 886-5262 | 
| Full Name | Kimberly Ann Ammann | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 600 4th St Ne Ste 203, Watertown, 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 | 
|---|---|---|---|
| 1659686814 | NPI | - | NPPES | 
| 5200010 | Medicaid | SD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7344 (South Dakota) | Secondary | 
| 101YM0800X | Counselor - Mental Health | 20173 (South Dakota) | Primary | 
| Entity Name | Avera Mckennan | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Ann Ammann, LPC-MH 600 4th St Ne Ste 203, Watertown, SD 57201-1898 Ph: (058) 865-2626  | Kimberly Ann Ammann, LPC-MH 600 4th St Ne Ste 203, Watertown, SD 57201-1898 Ph: (605) 886-5262  | 
Mrs. Angela Marie Arnold, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 20th Ave Nw, Watertown, SD 57201 Phone: 605-868-6003  | |
Nannie-lee Anne Austin,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  | |
Vicky L Albers, BA CCDC  II Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  | |
Kayla Ann Pinkert,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  | |
Mrs. Teresa Ann Madsen, CCSC II BS ALLIED Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  | |
Jennifer Rudebusch,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  | |
Amanda Ulmer, BA Counselor Medicare: Medicare Enrolled Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447  |