Nicole Vanzuidam, MA
Individual provider Active NPI Marriage & Family Therapist · Platte, SD
NPI 1275223182 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1275223182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 11519 (SD)
- Practice address
- 610 E 7TH St
Platte, SD 57369 - Phone
- (605) 337-3444
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
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 |
|---|---|---|---|---|
| I20240108006153 | SD | Practitioner - Marriage and Family Therapist | 3678924289 | Practice locations: Platte, SD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Junction Therapy, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
610 E 7th St
Platte, SD 57369
Phone (605) 215-1102
610 E 7th St
Ste 200
Platte, SD 57369
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11519 | SD | Yes |
Addresses
Primary practice location
610 E 7TH St
Platte, SD 57369
Mailing address
27080 379TH Ave
Corsica, SD 57328-5016
Phone (605) 680-4202
Other providers in Platte, SD
- Jennifer Lynn Sheffield
- Stickney School District
- Rick Stoltenburg
- Sawyer Marie Strand
- Hau Van Tran
- April Marie Veurink
- Jared Jay Veurink
- Pamela Ann Veurink
- Vondish LLC
- Wessington Springs School District
All providers in Platte, SD · Marriage & Family Therapist 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 12, 2023. 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.