Active NPI
Tapestry of Wellness
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1104032044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-MH2142
- Legal business name
- TAPESTRY OF WELLNESS
- Practice address
- 2121 W 63Rd PL Ste 100
Sioux Falls, SD 57108-5060 - Phone
- (605) 373-9330
- Fax
- (866) 441-1136
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tandra Baker, LCP-MH
- Title
- President
- Phone
- (605) 373-9330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-MH2142 | SD | Primary |
Addresses
Primary practice location
2121 W 63Rd PL Ste 100
Sioux Falls, SD 57108-5060
Mailing address
2121 W 63Rd PL Ste 100
Sioux Falls, SD 57108-5060
Phone (605) 373-9330
National Provider Directory
National Provider DirectoryLocations
2121 W 63rd Pl
Ste 100
Sioux Falls, SD 57108
Phone (605) 373-9330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104032044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W 63RD PL STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085060",
"telephone_number": "605-373-9330",
"fax_number": "866-441-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W 63RD PL STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085060",
"telephone_number": "605-373-9330",
"fax_number": "866-441-1136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAPESTRY OF WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-373-9330",
"authorized_official_credential": "LCP-MH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH2142",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.