Mickenna Andersen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICKENNA ANDERSEN

Doing business as

Middle Path Counseling LLC

Practice address

3212 S Western Ave
Sioux Falls, SD 57105-5300

Phone

(605) 728-4116

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Mickenna Andersesn, MSW, LCSW-PIP, QMHP

Title

Owner

Phone

(605) 728-4116

Specialties & licenses 1

Addresses

Other names 1

• Middle Path Counseling LLC Doing business as

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1225809510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055300",
            "telephone_number": "605-728-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055300",
            "telephone_number": "605-728-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKENNA ANDERSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSESN",
        "authorized_official_first_name": "MICKENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-728-4116",
        "authorized_official_credential": "MSW, LCSW-PIP, QMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Path Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.