Active NPI
Sozo Counseling Care, Inc.
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1003146895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCMH2048
- Legal business name
- SOZO COUNSELING CARE, INC.
- Practice address
- 2701 S Minnesota Ave
Suite 3
Sioux Falls, SD 57105-4744 - Phone
- (605) 339-3378
- Fax
- (605) 339-0510
- NPI assigned
- Dec 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianne S. Heynen, LPC-MH
- Title
- President
- Phone
- (605) 339-3378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCMH2048 | SD | Primary |
Addresses
Primary practice location
2701 S Minnesota Ave
Suite 3
Sioux Falls, SD 57105-4744
Mailing address
2701 S Minnesota Ave
Suite 3
Sioux Falls, SD 57105-4744
Phone (605) 339-3378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6575530 | Medicaid | SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1003146895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 S MINNESOTA AVE",
"address_2": "SUITE 3",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054744",
"telephone_number": "605-339-3378",
"fax_number": "605-339-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S MINNESOTA AVE",
"address_2": "SUITE 3",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054744",
"telephone_number": "605-339-3378",
"fax_number": "605-339-0510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOZO COUNSELING CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "HEYNEN",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-339-3378",
"authorized_official_credential": "LPC-MH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPCMH2048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6575530",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.