Individual provider Active NPI

Ellen C Washenberger, LPCMH

  • Counselor
  • Aberdeen, SD
National Provider Identifier
1083797500
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCMH 2114 Issued in SD
Practice address
405 8TH Ave NW Ste 321
Aberdeen, SD 57401-2700
Phone
(605) 262-0513
Fax
(605) 252-0521
NPI assigned
Oct 21, 2006
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCMH 2114 SD Primary

Addresses

Primary practice location

405 8TH Ave NW Ste 321
Aberdeen, SD 57401-2700

Mailing address

405 8TH Ave NW Ste 321
Aberdeen, SD 57401-2700
Phone (605) 262-0513

Other practice location 1

502 E 2nd St
Redfield, SD 57469-1257
Phone (605) 472-4250

Other identifiers 1

IdentifierTypeStateIssuer
6575960MedicaidSD

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
I20240221001332 SD Practitioner - Mental Health Counselor 2163866815 Practice locations: Aberdeen, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

405 8TH Ave NW
Suite 321
Aberdeen, SD 57401-2700
Phone (605) 262-0513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH 2114SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Counseling LLC CurrentSince May 25, 2021 Accepting new patients
Destinations Counseling LLC Counselor CurrentSince Aug 18, 2019 Accepting new patients
Lutheran Social Services of South Dakota Inc Past Accepting new patients

Locations

405 8th Ave NW
Ste 321
Aberdeen, SD 57401
Phone (605) 262-0513

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

Organizations & group practices 3

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1083797500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW STE 321",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012700",
            "telephone_number": "605-262-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW STE 321",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012700",
            "telephone_number": "605-262-0513",
            "fax_number": "605-252-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Redfield",
            "state": "SD",
            "postal_code": "574691257",
            "country_code": "US",
            "telephone_number": "605-472-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHENBERGER",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPCMH 2114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575960",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.