Individual provider Active NPI

Heather R Aldentaler

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1215106547
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH30531 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
Feb 20, 2008
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH30531 SD Primary

Addresses

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

Other identifiers 1

IdentifierTypeStateIssuer
2018402MedicaidSD

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
I20240409001825 SD Practitioner - Mental Health Counselor 6305284464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Group, LLCGroup PAC ID 4789952706, 4 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MH30531SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Group LLC Mental Health CurrentSince Jan 23, 2024 Accepting new patients
Brain Intercept Inc CurrentSince Jan 23, 2024 Accepting new patients
Northeastern Mental Health Center Mental Health Past Accepting new patients

Locations

121 4th Ave SW
Ste 2
Aberdeen, SD 57401
Phone (605) 725-9565

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

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, 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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1215106547",
    "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": "ALDENTALER",
        "first_name": "HEATHER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "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-MH30531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018402",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.