| Community Counseling Service | |
|
357 Kansas Ave Se Huron SD 57350-2517 | |
| (605) 352-8596 | |
| (605) 352-7001 |
| Full Name | Community Counseling Service |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 9133111875 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649380148 PECOS PAC ID: 1153327929 Enrollment ID: I20061018000648 |
| Provider Name | Clay J Pavlis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20070806000592 |
| Provider Name | James L Chiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124347265 PECOS PAC ID: 1951531771 Enrollment ID: I20140923001047 |
| Provider Name | Kelly J Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114386794 PECOS PAC ID: 7214226430 Enrollment ID: I20160511001762 |
| Provider Name | Ashley Frankfurth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427421452 PECOS PAC ID: 4981996113 Enrollment ID: I20160708001646 |
| Provider Name | Whitney Kroupa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205200243 PECOS PAC ID: 6002100278 Enrollment ID: I20160810002313 |
| Provider Name | Kelsey Mesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649753294 PECOS PAC ID: 5698014280 Enrollment ID: I20190226001183 |
| Provider Name | Tammy Jo Vande Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417898 PECOS PAC ID: 4981947595 Enrollment ID: I20190523000726 |
| Provider Name | Brian Ruben Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629612148 PECOS PAC ID: 3072948298 Enrollment ID: I20200127002036 |
| Provider Name | Diane M Teadtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233070 PECOS PAC ID: 7719317452 Enrollment ID: I20200421003128 |
| Provider Name | Holly K Sathoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801545330 PECOS PAC ID: 7214314558 Enrollment ID: I20220506001184 |
| Provider Name | Jessica M Baum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609208230 PECOS PAC ID: 3375985765 Enrollment ID: I20240530003694 |
| Provider Name | Allie N Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033990734 PECOS PAC ID: 9335681212 Enrollment ID: I20240606002511 |
| Provider Name | Kelsey L Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710395629 PECOS PAC ID: 5092259036 Enrollment ID: I20240701002624 |
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 |