Individual provider Active NPI

Erin L Sanford, MA, NCC, LPC-MH

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1053559146
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 7074 Issued in SD
Practice address
6901 S. Lyncrest Place Suite 105
Sioux Falls, SD 57108
Phone
(605) 335-1516
Fax
(605) 731-0896
NPI assigned
Jan 27, 2009
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 7074 SD Primary

Addresses

Primary practice location

6901 S. Lyncrest Place Suite 105
Sioux Falls, SD 57108

Mailing address

6901 S. Lyncrest Place Suite 105
Sioux Falls, SD 57108
Phone (605) 335-1516

Other identifiers 1

IdentifierTypeStateIssuer
5200020MedicaidSD

Other names 1

  • Erin L Weber Former name

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
I20240201001589 SD Practitioner - Mental Health Counselor 3678926169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Counseling Center LLCGroup PAC ID 2769835255, 2 clinicians

Practice addresses (Care Compare)

700 S 8TH Ave
Brandon, SD 57005-1772
Phone (605) 582-4722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 7074SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Authentic Counseling LLC Past Accepting new patients

Locations

700 S 8th Ave
Brandon, SD 57005
Phone (507) 227-4435

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1053559146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S. LYNCREST PLACE SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-335-1516",
            "fax_number": "605-731-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S. LYNCREST PLACE SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-335-1516",
            "fax_number": "605-731-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "ERIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, LPC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC 7074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WEBER",
            "middle_name": "L",
            "credential": "MA, NCC, LPC-MH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.