Individual provider Active NPI

Constance Elise Kolbrek

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1114298247
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC984 Issued in SD
Practice address
6901 S Lyncrest PL Ste 105
Sioux Falls, SD 57108-2574
Phone
(605) 335-1516
Fax
(605) 731-0896
NPI assigned
Jan 20, 2012
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X LPC984 SD
Professional Counselor 101YP2500X LPC984 SD Primary

Addresses

Primary practice location

6901 S Lyncrest PL Ste 105
Sioux Falls, SD 57108-2574

Mailing address

1101 E Libby LN
Sioux Falls, SD 57108-4667
Phone (605) 254-5525

Other names 1

  • Connie Elise Kolbrek Professional 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
I20240314001450 SD Practitioner - Mental Health Counselor 6507202314 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4301 W 57TH St
Suite 100
Sioux Falls, SD 57108-2255
Phone (605) 335-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC984SDMDSchool Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1114298247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E LIBBY LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084667",
            "telephone_number": "605-254-5525",
            "fax_number": "605-977-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S LYNCREST PL STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082574",
            "telephone_number": "605-335-1516",
            "fax_number": "605-731-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBREK",
        "first_name": "CONSTANCE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "SD",
            "license": "LPC984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "KOLBREK",
            "middle_name": "ELISE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.