Individual provider Active NPI

Jessica M Gallardo, M.S., B.A., N.C.C.

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1245096791
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone
(605) 334-2696
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 Primary

Addresses

Primary practice location

2109 S Norton Ave
Sioux Falls, SD 57105-3730

Mailing address

7460 S Homan PL Unit 5
Sioux Falls, SD 57108-8522
Phone (952) 239-8699

Other names 1

  • Jessica M Lindstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary CurrentSince Dec 30, 2024 Accepting new patients
North American Baptist Seminary CurrentSince Feb 25, 2024 Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1245096791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 S HOMAN PL UNIT 5",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088522",
            "telephone_number": "952-239-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053730",
            "telephone_number": "605-334-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "M.S., B.A., N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LINDSTROM",
            "middle_name": "M",
            "credential": "M.S., B.A., N.C.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.