2Degreechange LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

2DEGREECHANGE LLC

Practice address

4301 W 57TH St Ste 100
Sioux Falls, SD 57108-2255

Phone

(605) 335-1516

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Earl Gordon Witt, MANPI 1366427163

Title

Owner

Phone

(605) 595-1583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Gordon Witt, MA

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1366427163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1043984727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47352 299TH ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570046733",
            "telephone_number": "605-595-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 57TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082255",
            "telephone_number": "605-335-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2DEGREECHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-595-1583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.