Active NPI
Craig J.P. Kindrat, LPC, LMFT, CCDCIII
- Marriage & Family Therapist
- Sioux Falls, SD
National Provider Identifier
1154483667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 1042
- Practice address
- 2412 S Cliff Ave
Suite 100
Sioux Falls, SD 57105-4031 - Phone
- (605) 322-4079
- Fax
- (605) 322-4080
- NPI assigned
- Dec 14, 2006
- Last updated
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCDCIII-01081179 | SD | |
| Professional Counselor | 101YP2500X | LPC 741 | SD | |
| Marriage & Family Therapist | 106H00000X | LMFT 1042 | SD | Primary |
Addresses
Primary practice location
2412 S Cliff Ave
Suite 100
Sioux Falls, SD 57105-4031
Mailing address
2412 S Cliff Ave
Suite 100
Sioux Falls, SD 57105-4031
Phone (605) 322-4079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCDCIII-01081179 | SD | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 741 | SD | MD | Professional Counselor |
| LMFT 1042 | SD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1154483667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 S CLIFF AVE",
"address_2": "SUITE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054031",
"telephone_number": "605-322-4079",
"fax_number": "605-322-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 S CLIFF AVE",
"address_2": "SUITE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054031",
"telephone_number": "605-322-4079",
"fax_number": "605-322-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDRAT",
"first_name": "CRAIG",
"middle_name": "J.P.",
"credential": "LPC, LMFT, CCDCIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "CCDCIII-01081179",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC 741",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SD",
"license": "LMFT 1042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.