Individual provider Active NPI

Kimberly J Cournoyer-Baum, EDS

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1235129446
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH2106 Issued in SD
Practice address
629 S Minnesota Ave Ste 203
Sioux Falls, SD 57104-4876
Phone
(605) 271-6979
Fax
(605) 271-6979
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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 LPCMH2106 SD Primary

Addresses

Primary practice location

629 S Minnesota Ave Ste 203
Sioux Falls, SD 57104-4876

Mailing address

629 S Minnesota Ave Ste 203
Sioux Falls, SD 57104-4876
Phone (605) 271-6979

Other identifiers 1

IdentifierTypeStateIssuer
6575820MedicaidSD

Other names 1

  • Kimberly J Cournoyer Professional name

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
I20240227003361 SD Practitioner - Mental Health Counselor 4284079468 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 S Minnesota Ave
Suite 203
Sioux Falls, SD 57104-4876
Phone (605) 271-6979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH2106SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recourse Solutions Sioux Empire LLC Mental Health CurrentSince Jun 12, 2022 Accepting new patients
GPPS LLC PastSince Jun 1, 1993 Accepting new patients

Locations

629 S Minnesota Ave
Ste 203
Sioux Falls, SD 57104
Phone (605) 271-6979

Organizations & group practices 2

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1235129446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044876",
            "telephone_number": "605-271-6979",
            "fax_number": "605-271-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044876",
            "telephone_number": "605-271-6979",
            "fax_number": "605-271-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURNOYER-BAUM",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575820",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COURNOYER",
            "middle_name": "J",
            "credential": "EDS, LPC-MH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.