Individual provider Active NPI

Mikaela K Campbell

  • Counselor
  • Sioux Falls, SD
National Provider Identifier
1184904690
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
625 S Minnesota Ave
Suite 201
Sioux Falls, SD 57104-4871
Phone
(605) 334-7713
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

625 S Minnesota Ave
Suite 201
Sioux Falls, SD 57104-4871

Mailing address

2430 W Kenwood MNR Apt 13
Sioux Falls, SD 57104-4437
Phone (605) 940-2834

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
I20240104002262 SD Practitioner - Mental Health Counselor 5799115093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wellness CollectiveGroup PAC ID 1951722834, 9 clinicians

Practice addresses (Care Compare)

2333 W 57TH St
Suite 103
Sioux Falls, SD 57108-5054
Phone (605) 271-5640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
The Wellness Collective LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Stronghold Counseling Services Inc Counselor Past Accepting new patients

Locations

2333 W 57th St
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-5640

116 Market St
Vermillion, SD 57069
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078
Phone (605) 661-0841

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.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1184904690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 W KENWOOD MNR APT 13",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044437",
            "telephone_number": "605-940-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S MINNESOTA AVE",
            "address_2": "SUITE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044871",
            "telephone_number": "605-334-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MIKAELA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.