Gertrude Boitumelo Makgabenyana, MA CLINICAL MENTAL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

123 19TH St NE
Watertown, SD 57201

Phone

(605) 886-0123

Fax

(605) 886-5447

NPI assigned

Aug 21, 2007

Last updated

Feb 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Boitumelo Gertrude Larsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• New Hope Agency Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1013613322
  NPD Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1225221591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271524",
            "telephone_number": "531-444-9861",
            "fax_number": "605-886-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 19TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "57201",
            "telephone_number": "605-886-0123",
            "fax_number": "605-886-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKGABENYANA",
        "first_name": "GERTRUDE",
        "middle_name": "BOITUMELO",
        "name_prefix": "Mrs.",
        "credential": "MA CLINICAL MENTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200010",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013613322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOITUMELO",
            "last_name": "LARSEN",
            "middle_name": "GERTRUDE",
            "prefix": "MS.",
            "credential": "MA CLINICAL PSYCH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Niccole J Mack, D.P.T.
• Todd D Mack, CSW-PIP
• Brittany Elaine Macks
• Teresa Ann Madsen, CCSC II BS ALLIED
• Melissa J Magstadt, CNP
• Jered Marc Mancell, D.O.
• Mark Bontreger Inc
• Dana Martens, LCSW
• Justin James Martinson, PA-C
• Marveldo LLC

• Mental Health Counselor in Watertown, SD
• Providers in Watertown, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.