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Individual provider Active NPI

Elisa Lewis

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1043642671
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC7350 Issued in SD
Practice address
2412 S Cliff Ave
Sioux Falls, SD 57105-4031
Phone
(605) 322-4079
Fax
(605) 322-5704
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC7350 SD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13101610 SD

Addresses

Primary practice location

2412 S Cliff Ave
Sioux Falls, SD 57105-4031

Mailing address

2412 S Cliff Ave
Sioux Falls, SD 57105-4031
Phone (605) 322-4079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203002798 SD Practitioner - Mental Health Counselor 7113457318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wellness CollectiveGroup PAC ID 1951722834, 9 clinicians

Practice addresses (Care Compare)

2333 W 57TH St
Suite 103
Sioux Falls, SD 57108-5054
Phone (605) 271-5640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13101610SDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Collective LLC CurrentSince Oct 22, 2025 Accepting new patients
Avera McKennan CurrentSince Nov 29, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 29, 2024 Accepting new patients
Community Counseling Service Addiction (Substance Use Disorder) PastSince Apr 2, 2004 Accepting new patients
Greg E Brostad, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

2412 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-4079

2333 W 57th St
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-5640

Organizations & group practices 6

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1043642671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054031",
            "telephone_number": "605-322-4079",
            "fax_number": "605-322-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054031",
            "telephone_number": "605-322-4079",
            "fax_number": "605-322-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC7350",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "13101610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.