Organization Active NPI

Custer School District 16-1

  • School Psychologist
  • Custer, SD
National Provider Identifier
1194516500
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
CUSTER SCHOOL DISTRICT 16-1
Practice address
1415 Wild Cat LN
Custer, SD 57730-2478
Phone
(605) 673-4483
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Katherine Jensen, ED.S
Title
Special Education Evaluator
Phone
(605) 673-2172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1415 Wild Cat LN
Custer, SD 57730-2478

Mailing address

527 Montgomery St
Custer, SD 57730-1124
Phone (605) 673-2171

Other practice location 1

1645 Wild Cat Ln
Custer, SD 57730-2476
Phone (605) 673-4473

National Provider Directory

National Provider Directory

Locations

527 Montgomery St
Custer, SD 57730
Phone (605) 673-3154

1415 Wild Cat Ln
Custer, SD 57730
Phone (605) 673-4483

1645 Wild Cat Ln
Custer, SD 57730
Phone (605) 673-4473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1194516500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301124",
            "telephone_number": "605-673-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WILD CAT LN",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577302478",
            "telephone_number": "605-673-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Wild Cat Ln",
            "address_purpose": "LOCATION",
            "city": "Custer",
            "state": "SD",
            "postal_code": "577302476",
            "country_code": "US",
            "telephone_number": "605-673-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUSTER SCHOOL DISTRICT 16-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SPECIAL EDUCATION EVALUATOR",
        "authorized_official_telephone_number": "605-673-2172",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.