Organization Active NPI

Connie L Nelson Inc

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1073310140
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONNIE L NELSON INC
Practice address
3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864
Phone
(605) 961-7009
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Ms. Connie Nelson, LPMHCNPI 1629061221
Title
Provider/Owner
Phone
(605) 310-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864

Mailing address

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864
Phone (605) 310-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408001834 SD Part B Supplier - Clinic/Group Practice 6709300072 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

3801 W Technology Cir
Sioux Falls, SD 57106
Phone (605) 310-6040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1073310140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "telephone_number": "605-310-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "telephone_number": "605-961-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE L NELSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "605-310-6040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.