Individual provider Active NPI

Patricia J Schultz, LPC-MH

  • Counselor
  • Sioux Falls, SD
National Provider Identifier
1255692000
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2271 Issued in SD
Practice address
5000 S Broadband LN Ste 107
Sioux Falls, SD 57108-2261
Phone
(605) 517-0578
Fax
(605) 275-2279
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2271 SD Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5000 S Broadband LN Ste 107
Sioux Falls, SD 57108-2261

Mailing address

5000 S Broadband LN Ste 107
Sioux Falls, SD 57108-2261
Phone (605) 517-0578

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
I20240919000148 SD Practitioner - Mental Health Counselor 1456892363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6209 E Silver Maple Cir
Suite 2
Sioux Falls, SD 57110-7806
Phone (605) 202-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2271SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J Schultz LLC Mental Health CurrentSince Aug 22, 2024 Accepting new patients

Locations

6209 E Silver Maple Cir
Ste 2
Sioux Falls, SD 57110
Phone (605) 202-7996

5000 S Broadband Ln
Ste 107
Sioux Falls, SD 57108
Phone (605) 275-2277

Organizations & group practices 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255692000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S BROADBAND LN STE 107",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082261",
            "telephone_number": "605-517-0578",
            "fax_number": "605-275-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S BROADBAND LN STE 107",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082261",
            "telephone_number": "605-517-0578",
            "fax_number": "605-275-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "LPC-MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "2271",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.