Individual provider Active NPI

Mary Weber, LPC, LMFT

  • Counselor
  • Sioux Falls, SD
National Provider Identifier
1104207018
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC667 Issued in SD
Practice address
523 N Duluth Ave
Sioux Falls, SD 57104-2714
Phone
(605) 988-3775
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT1173 SD
Counselor 101Y00000X LPC667 SD Primary

Addresses

Primary practice location

523 N Duluth Ave
Sioux Falls, SD 57104-2714

Mailing address

1500 S Sycamore Ave
Suite 102
Sioux Falls, SD 57110-3708
Phone (605) 201-1828

Other practice location 1

1500 S Sycamore Ave
Suite 102
Sioux Falls, SD 57110-3708
Phone (605) 201-1828

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
I20240320003773 SD Practitioner - Marriage and Family Therapist 2961849344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Family ServicesGroup PAC ID 0840286845, 5 clinicians

Practice addresses (Care Compare)

523 N Duluth Ave
Sioux Falls, SD 57104-2714
Phone (605) 988-3775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC667SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family Services Marriage & Family Therapist CurrentSince Feb 20, 2024 Accepting new patients
Catholic Family Services Past Accepting new patients

Locations

523 N Duluth Ave
Sioux Falls, SD 57104
Phone (605) 988-3775

309 2nd Ave SE
Watertown, SD 57201
Phone (605) 886-6321

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1104207018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE",
            "address_2": "SUITE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103708",
            "telephone_number": "605-201-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N DULUTH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571042714",
            "telephone_number": "605-988-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Sycamore Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571103708",
            "country_code": "US",
            "telephone_number": "605-201-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARY",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1173",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.