Organization Active NPI

Sozo Counseling Care, Inc.

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1003146895
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH2048 Issued in SD
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

Updated by the provider on Dec 30, 2009

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6575530MedicaidSD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.