Katherine Woudstra, PSY.D., LP
Individual provider Active NPI Psychologist · Sioux Falls, SD
NPI 1265128508 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1265128508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 1701 E 69TH St Ste a
Sioux Falls, SD 57108-8331 - Phone
- (605) 275-2280
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1701 E 69TH St
Suite a
Sioux Falls, SD 57108-8331
3100 S Groveland Dr
Sioux Falls, SD 57110-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241108003374 | SD | Practitioner - Clinical Psychologist | 1456885771 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Baptist Seminary | Current |
Accepting new patients | |
| Breakthrough Counseling, LLC | Current |
Accepting new patients | |
| North American Baptist Seminary | Current |
Accepting new patients |
Locations
4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713
1701 E 69th St
Ste A
Sioux Falls, SD 57108
Phone (605) 275-2280
2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1701 E 69TH St Ste a
Sioux Falls, SD 57108-8331
Mailing address
3100 S Groveland Dr
Sioux Falls, SD 57110-6000
Phone (954) 707-2864
Other providers in Sioux Falls, SD
- Megan Woolery
- Kimberly Woolhiser
- Nancy J Woolley
- Worthy Well Empowered LLC
- Micheala L Wosje
- Woundsite LLC
- Carly Culver Wright
- Gianna Wright
- Grace Marie Wright
- Janet Rae Wright
All providers in Sioux Falls, SD · Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.