| Enso Mental Health, LLC | |
|
717 N 5th St Spearfish SD 57783-2048 | |
| (605) 519-5850 | |
| (605) 656-0560 |
| Full Name | Enso Mental Health, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 717 N 5th St, Spearfish, South Dakota |
| Authorized Official Name and Position | Joanna M Prewitt (EXECUTIVE DIRECTOR/FOUNDER/CEO) |
| Authorized Official Contact | 6055195850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Mental Health, LLC 717 N 5th St Spearfish SD 57783-2048 Ph: (695) 519-5850 | Enso Mental Health, LLC 717 N 5th St Spearfish SD 57783-2048 Ph: (605) 519-5850 |
| NPI Number | 1912541921 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 01/04/2026 |
| Certification Date | 01/04/2026 |
| Medicare PECOS PAC ID | 0749651883 |
|---|---|
| Medicare Enrollment ID | O20230127000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912541921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Katy Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487266722 PECOS PAC ID: 8820409170 Enrollment ID: I20201118001089 |
| Provider Name | Shannon Heather Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205108396 PECOS PAC ID: 5496199341 Enrollment ID: I20240219002249 |
| Provider Name | Joanna M Prewitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750802450 PECOS PAC ID: 5294106332 Enrollment ID: I20240222002119 |
| Provider Name | Jessica Leigh Ruzicka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972026383 PECOS PAC ID: 4284071952 Enrollment ID: I20240318003175 |
| Provider Name | Heather Ann Janvrin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912668112 PECOS PAC ID: 2961943915 Enrollment ID: I20240918002251 |
| Provider Name | Tristan Schneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518371087 PECOS PAC ID: 8729511845 Enrollment ID: I20241029000810 |
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