| Dakota Counseling Institute, Inc. | |
|
910 W Havens St Mitchell SD 57301-3831 | |
| (605) 996-9686 | |
| (605) 996-1624 |
| Full Name | Dakota Counseling Institute, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 910 W Havens St, Mitchell, South Dakota |
| Authorized Official Name and Position | Michelle L. Carpenter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6059969686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Counseling Institute, Inc. 910 W Havens St Mitchell SD 57301-3831 Ph: (605) 996-9686 | Dakota Counseling Institute, Inc. 910 W Havens St Mitchell SD 57301-3831 Ph: (605) 996-9686 |
| NPI Number | 1760542278 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 3375433964 |
|---|---|
| Medicare Enrollment ID | O20040317001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760542278 | NPI | - | NPPES |
| 5200110 | Medicaid | SD | |
| 0069979 | Other | SD | WELLMARK PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (South Dakota) | Primary |
| Provider Name | Michael L Moeller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598765877 PECOS PAC ID: 2365437274 Enrollment ID: I20040420000118 |
| Provider Name | Brenda K Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265560163 PECOS PAC ID: 5395736706 Enrollment ID: I20040524000082 |
| Provider Name | Kari L Rickel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568426054 PECOS PAC ID: 2062511587 Enrollment ID: I20070625000554 |
| Provider Name | Christopher Michael Davidson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730282070 PECOS PAC ID: 4981638780 Enrollment ID: I20070827000563 |
| Provider Name | James L Chiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124347265 PECOS PAC ID: 1951531771 Enrollment ID: I20140923001047 |
| Provider Name | Revel S Degen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841822004 PECOS PAC ID: 0547685893 Enrollment ID: I20201028001058 |
| Provider Name | Jasmine Yvonne Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063187524 PECOS PAC ID: 9739550195 Enrollment ID: I20230123000084 |
| Provider Name | Renee Cherie Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932979549 PECOS PAC ID: 5092159848 Enrollment ID: I20240220002236 |
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