Make It Happen Counseling
Organization Active NPI Clinical Social Worker · Sturgis, SD
NPI 1043718679 · NPPES record last updated Jan 10, 2024
Key facts
- NPI
- 1043718679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3129 (SD)
- Legal business name
- MAKE IT HAPPEN COUNSELING
- Practice address
- 824 1St St
Sturgis, SD 57785-1230 - Phone
- (605) 490-7911
- NPI assigned
- Jan 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Kerri Delayne Kinzell, MSW, CSW-PIP
- Title
- Clinical Social Worker
- Phone
- (605) 490-7911
Practitioners 5
-
Jerrid W. Goebel, DC
-
Al Thomas Gunderson, D.C
-
Stuart Wayne Johnson, D.C.
-
Alec Trennepohl, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190430000455 | SD | Part B Supplier - Clinic/Group Practice | 2062754773 |
Receives reassigned benefits from 1 practitioner Practice locations: Sturgis, SD |
National Provider Directory
Locations
1001 Lazelle St
Sturgis, SD 57785
Phone (307) 431-5626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 3129 | SD | Yes |
Addresses
Primary practice location
824 1St St
Sturgis, SD 57785-1230
Mailing address
824 1St St
Sturgis, SD 57785-1230
Phone (605) 490-7911
Other providers in Sturgis, SD
- Todd J Loftus
- Austen Roald Lund
- Lisa Marie Lundstrom
- Brett A Lynass
- Sara Maher
- Meade County Senior Citizen Center
- Meade School District 46 1
- Megan E Beckwith DMD PC
- Michael S Messmer
- Emily A Meyer
All providers in Sturgis, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.