Individual provider Active NPI

Amanda Lynn Kirkeby, MS

  • Marriage & Family Therapist
  • Brookings, SD
National Provider Identifier
1184472953
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11568 Issued in SD
Practice address
601 4TH St Ste 102
Brookings, SD 57006-2065
Phone
(605) 494-1500
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11568 SD Primary

Addresses

Primary practice location

601 4TH St Ste 102
Brookings, SD 57006-2065

Mailing address

102 James Ave
Volga, SD 57071-8503
Phone (320) 420-0978

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
I20251209003863 SD Practitioner - Marriage and Family Therapist 9638663420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1914 Skerrols St
Fort Pierre, SD 57532-2390

420 S Henry St
Pierre, SD 57501-4515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11568SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Together, Inc CurrentSince Nov 25, 2025 Accepting new patients
Rising Hope Counseling, LLC CurrentSince Nov 25, 2025 Accepting new patients

Locations

601 4th St
Ste 102
Brookings, SD 57006

317 N Heritage Ave
Tea, SD 57064

1119 Main St
Webster, SD 57274

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1184472953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JAMES AVE",
            "city": "VOLGA",
            "state": "SD",
            "postal_code": "570718503",
            "telephone_number": "320-420-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 4TH ST STE 102",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062065",
            "telephone_number": "605-494-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEBY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "11568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.