Individual provider Active NPI

Tonja S Koenigs, LCSW PIP

  • Clinical Social Worker
  • Yankton, SD
National Provider Identifier
1104042696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2222 Issued in SD
Practice address
904 W 23Rd St
Heartland Psychological Services Ste 101
Yankton, SD 57078
Phone
(605) 665-0841
Fax
(605) 665-0096
NPI assigned
Apr 17, 2007
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
Clinical Social Worker 1041C0700X 2222 SD Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Ms. Tonja S Lindstrom Other 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
I20070607000479 SD Practitioner - Clinical Social Worker 5395634778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services CurrentSince Jul 16, 2007 Accepting new patients
West Iowa Community Mental Health Center Past 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 3

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104042696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 23RD ST",
            "address_2": "HEARTLAND PSYCHOLOGICAL SERVICES 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": "904 W 23RD ST",
            "address_2": "HEARTLAND PSYCHOLOGICAL SERVICES STE 101",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "57078",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGS",
        "first_name": "TONJA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONJA",
            "last_name": "LINDSTROM",
            "middle_name": "S",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.