Individual provider Active NPI

Amy L Hauge, LPC-MH, QMHP

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1003984501
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2231 Issued in SD
Practice address
125 Railroad Ave SE Ste 1
Aberdeen, SD 57401-4208
Phone
(605) 725-5505
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH2231 SD Primary

Addresses

Primary practice location

125 Railroad Ave SE Ste 1
Aberdeen, SD 57401-4208

Mailing address

221 S Co Rd 19
Aberdeen, SD 57401-5533
Phone (605) 725-5505

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address amy@breakthroughpsychservices.com
Direct Messaging Address amy@breakthroughpsychservices.com Direct
Direct Messaging Address amy@breakthroughpsychservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703002158 SD Practitioner - Mental Health Counselor 9032653894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Railroad Ave SE
Suite 1
Aberdeen, SD 57401-4208

3105 Magnolia St N
Aberdeen, SD 57401-5216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MH2231SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
American Advanced Practice Network, P.C. CurrentSince Dec 6, 2022 Accepting new patients
Breakthrough Psychological Services, LLC CurrentSince May 19, 2024 Accepting new patients
Northeastern Mental Health Center Mental Health PastSince Nov 16, 1999 Accepting new patients

Locations

125 Railroad Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 725-5505

221 S Co Road 19
Aberdeen, SD 57401
Phone (605) 725-5505

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1003984501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S CO RD 19",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015533",
            "telephone_number": "605-725-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAILROAD AVE SE STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014208",
            "telephone_number": "605-725-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPC-MH, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@breakthroughpsychservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "125 Railroad Ave SE Ste 1",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574014208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@breakthroughpsychservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "221 S Co Rd 19",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574015533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@breakthroughpsychservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "221 S Co Rd 19",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574015533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.