Individual provider Active NPI

Stephanie Marie Lund, LPC-MH

  • Mental Health Counselor
  • Pollock, SD
National Provider Identifier
1265656029
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH20271 Issued in SD
Practice address
318 Oahe St
Pollock, SD 57648-2403
Phone
(605) 848-4957
Fax
(833) 266-6765
NPI assigned
Apr 12, 2007
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPCMH20271 SD Primary

Addresses

Primary practice location

318 Oahe St
Pollock, SD 57648-2403

Mailing address

PO Box 672
Pollock, SD 57648-0672
Phone (605) 848-4957

Other practice location 1

1028 Walnut St
Yankton, SD 57078-2910
Phone (605) 665-4606

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
I20240223001249 SD Practitioner - Mental Health Counselor 4587008263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 Oahe St
Pollock, SD 57648-2403
Phone (605) 848-4957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH20271SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River's Edge Counseling CurrentSince Dec 14, 2023 Accepting new patients
Lewis & Clark Behavioral Health Services, Inc. Past Accepting new patients
Lewis & Clark Mental Health Center Mental Health Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1265656029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "POLLOCK",
            "state": "SD",
            "postal_code": "576480672",
            "telephone_number": "605-848-4957",
            "fax_number": "833-266-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 OAHE ST",
            "city": "POLLOCK",
            "state": "SD",
            "postal_code": "576482403",
            "telephone_number": "605-848-4957",
            "fax_number": "833-266-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570782910",
            "country_code": "US",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUND",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC-MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pollock, SD

Sources for this page

Verify at the official NPI Registry.