Organization Active NPI

Kimberly Lightfield Counseling Services LLC

  • Mental Health Counselor
  • Milbank, SD
National Provider Identifier
1104251354
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH 2155 Issued in SD
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326121757MedicaidSD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.