Individual provider Active NPI

Amanda Jean Lautenschlager, MS,LPC-MH, NCC,QMHP,

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1174809446
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2251 Issued in SD
Practice address
405 8TH Ave NW Ste 205
Aberdeen, SD 57401-2765
Phone
(605) 725-9565
Fax
(844) 651-2144
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Group, LLC 4 clinicians

Practice addresses (Care Compare)

405 8TH Ave NW
Suite 205
Aberdeen, SD 57401-2765
Phone (605) 725-9565

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240304000351 SD Practitioner - Mental Health Counselor 6002186665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Intercept Inc CurrentSince Feb 21, 2024 Accepting new patients
Dakota Group LLC Mental Health CurrentSince Jun 9, 2016 Accepting new patients
Lutheran Social Services of South Dakota Inc PastSince Jan 4, 2016 Accepting new patients

Locations

405 8th Ave NW
Ste 205
Aberdeen, SD 57401
Phone (605) 725-9565

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH2251 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

405 8TH Ave NW Ste 205
Aberdeen, SD 57401-2765

Mailing address

405 8TH Ave NW Ste 205
Aberdeen, SD 57401-2765
Phone (605) 725-9565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1174809446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW STE 205",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012765",
            "telephone_number": "605-725-9565",
            "fax_number": "844-651-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW STE 205",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012765",
            "telephone_number": "605-725-9565",
            "fax_number": "844-651-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTENSCHLAGER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS,LPC-MH, NCC,QMHP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.