Melissa Wiese, LPC, ACT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20736 Issued in SD

Practice address

310 S 1St Ave
Sioux Falls, SD 57104-6329

Phone

(605) 275-1560

NPI assigned

Apr 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group NPD
• Carroll Institute

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1255868220
  Medicare reassignment NPD
• Avera McKennan

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598
  NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Carroll Institute

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1952446411
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1134815103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046329",
            "telephone_number": "605-275-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046329",
            "telephone_number": "605-275-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "MELISSA",
        "credential": "LPC, ACT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "20736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Wieneke, PHARMD
• Beth J Wienhold, MA, CFY-SLP
• Brian Wienk, PT, SCD
• Daryl R Wierda, MD
• Jennifer Mae Wiese, MA, LPC-MH, LAC
• Megan Mattie Wiessner, M.A., CFY-SLP
• Staci A.G. Wietfeld, DPT, OCS
• Wiggers Counseling LLC
• Tyson Wiggers, CSW-PIP, QMHP
• Ashley Jean Wilcox, CSW-PIP

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.