Active NPI
Kimberly Lightfield Counseling Services LLC
- Mental Health Counselor
- Milbank, SD
National Provider Identifier
1104251354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCMH 2155
- Legal business name
- KIMBERLY LIGHTFIELD COUNSELING SERVICES LLC
- Practice address
- 1212 Park Dr
Milbank, SD 57252-3507 - Phone
- (605) 237-1686
- NPI assigned
- Sep 6, 2013
- Last updated
- Sep 6, 2013
- 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
- Kimberly J Lightfield, LPC-MH, QMHP
- Title
- Mental Health Counselor
- Phone
- (605) 237-1686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCMH 2155 | SD | Primary |
Addresses
Primary practice location
1212 Park Dr
Milbank, SD 57252-3507
Mailing address
1212 Park Dr
Milbank, SD 57252-3507
Phone (605) 237-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326121757 | Medicaid | SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378425600000",
"number": "1104251354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PARK DR",
"city": "MILBANK",
"state": "SD",
"postal_code": "572523507",
"telephone_number": "605-237-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PARK DR",
"city": "MILBANK",
"state": "SD",
"postal_code": "572523507",
"telephone_number": "605-237-1686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY LIGHTFIELD COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-06",
"last_updated": "2013-09-06",
"status": "A",
"authorized_official_last_name": "LIGHTFIELD",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "605-237-1686",
"authorized_official_credential": "LPC-MH, QMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPCMH 2155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326121757",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milbank, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.