Individual provider Active NPI

Nicole Vanzuidam, MA

  • Marriage & Family Therapist
  • Platte, SD
National Provider Identifier
1275223182
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11519 Issued in SD
Practice address
610 E 7TH St
Platte, SD 57369
Phone
(605) 337-3444
NPI assigned
May 12, 2023
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11519 SD Primary

Addresses

Primary practice location

610 E 7TH St
Platte, SD 57369

Mailing address

27080 379TH Ave
Corsica, SD 57328-5016
Phone (605) 680-4202

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
I20240108006153 SD Practitioner - Marriage and Family Therapist 3678924289 Practice locations: Platte, SD

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 E 7TH St
Platte, SD 57369-2114
Phone (605) 215-1102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Junction Therapy, LLC Marriage & Family Therapist CurrentSince Mar 3, 2024 Accepting new patients

Locations

610 E 7th St
Platte, SD 57369
Phone (605) 215-1102

610 E 7th St
Ste 200
Platte, SD 57369

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, 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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1275223182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27080 379TH AVE",
            "city": "CORSICA",
            "state": "SD",
            "postal_code": "573285016",
            "telephone_number": "605-680-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 7TH ST",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "57369",
            "telephone_number": "605-337-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZUIDAM",
        "first_name": "NICOLE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "11519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte, SD

Sources for this page

Verify at the official NPI Registry.