Individual provider Active NPI

Rachael Ann Fricke, LAC, LPC-MH, LPCC

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1144839788
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-MH30593 Issued in SD
Practice address
7511 S Louise Ave
Sioux Falls, SD 57108-5997
Phone
(605) 312-8700
Fax
(605) 312-8701
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16091731 SD
Mental Health Counselor 101YM0800X 112727 IA
Mental Health Counselor 101YM0800X LPC7420 SD
Professional Counselor 101YP2500X CC03615 MN
Professional Counselor 101YP2500X LPC-MH30593 SD Primary

Addresses

Primary practice location

7511 S Louise Ave
Sioux Falls, SD 57108-5997

Mailing address

8016 E Norway Pine TRL
Sioux Falls, SD 57110-4047
Phone (712) 363-4349

Other practice location 1

2400 W 49th St
Sioux Falls, SD 57105-6581
Phone (605) 312-8700

Other names 1

  • Rachael Ann Miedema Former 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
I20240102001155 SD Practitioner - Mental Health Counselor 0446657795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16091731SDMDAddiction (Substance Use Disorder) Counselor
112727IAMDMental Health Counselor
LPC7420SDMDMental Health Counselor
CC03615MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fricke Counseling LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

225 N Cliff Ave
Ste 4
Harrisburg, SD 57032
Phone (605) 525-6366

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 N Cliff Ave
Suite 4
Harrisburg, SD 57032-2524
Phone (605) 988-4431

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1144839788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 E NORWAY PINE TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571104047",
            "telephone_number": "712-363-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085997",
            "telephone_number": "605-312-8700",
            "fax_number": "605-312-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056581",
            "country_code": "US",
            "telephone_number": "605-312-8700",
            "fax_number": "605-312-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "LAC, LPC-MH, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "16091731",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "112727",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7420",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03615",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH30593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MIEDEMA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.