Individual provider Active NPI

Mary C Mayrand-Sternhagen, LPC MH

  • Professional Counselor
  • Yankton, SD
National Provider Identifier
1073676631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-MH2118 Issued in SD
Practice address
Heartland Psychological Services
904 W 23Rd St Ste 101
Yankton, SD 57078
Phone
(605) 665-0841
Fax
(605) 665-0096
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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-MH2118 SD Primary

Addresses

Primary practice location

Heartland Psychological Services
904 W 23Rd St Ste 101
Yankton, SD 57078

Mailing address

Heartland Psychological Services
904 W 23Rd St Ste 101
Yankton, SD 57078
Phone (605) 665-0841

Other identifiers 5

IdentifierTypeStateIssuer
23088OtherSIOUX VALLEY HEALTH PLAN
4994599OtherBLUE CROSS
6575780MedicaidSD
7771OtherAVERA HEALTH PLAN
232834OtherMIDLANDS CHOICE

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
I20231228003071 SD Practitioner - Mental Health Counselor 4587646849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Psychological ServicesGroup PAC ID 3476535725, 6 clinicians

Practice addresses (Care Compare)

116 Market St
Vermillion, SD 57069-3040
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078-3516
Phone (605) 665-0841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MH2118SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services CurrentSince Jan 1, 2024 Accepting new patients
Heartland Psychological Services Past Accepting new patients

Locations

116 Market St
Vermillion, SD 57069
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078
Phone (605) 661-0841

904 W 23rd St
Ste 101
Yankton, SD 57078
Phone (605) 665-0841

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073676631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEARTLAND PSYCHOLOGICAL SERVICES",
            "address_2": "904 W 23RD ST STE 101",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEARTLAND PSYCHOLOGICAL SERVICES",
            "address_2": "904 W 23RD ST STE 101",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYRAND-STERNHAGEN",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "LPC MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH2118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "23088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4994599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575780",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "7771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "232834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.