| Reverence Counseling Services, Llc | |
|
5021 S Bur Oak Pl Sioux Falls SD 57108-2228 | |
| (605) 937-6654 | |
| (605) 937-6749 |
| Full Name | Reverence Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5021 S Bur Oak Pl, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Jodi Anne Merritt (OWNER/DIRECTOR) |
| Authorized Official Contact | 6059376654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverence Counseling Services, Llc 5021 S Bur Oak Pl Sioux Falls SD 57108-2228 Ph: (605) 937-6654 | Reverence Counseling Services, Llc 5021 S Bur Oak Pl Sioux Falls SD 57108-2228 Ph: (605) 937-6654 |
| NPI Number | 1467118513 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 04/02/2022 |
| Certification Date | 04/02/2022 |
| Medicare PECOS PAC ID | 6709272693 |
|---|---|
| Medicare Enrollment ID | O20220331002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467118513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jordan J Brockhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619508116 PECOS PAC ID: 9234547712 Enrollment ID: I20210422000192 |
| Provider Name | Natausha P Deurmier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659974673 PECOS PAC ID: 6608242722 Enrollment ID: I20221014001117 |
| Provider Name | Lacey A. Leichtnam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093325706 PECOS PAC ID: 1557712155 Enrollment ID: I20240108005808 |
| Provider Name | Jodi Anne Merritt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730593211 PECOS PAC ID: 9335535228 Enrollment ID: I20240116002860 |
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