Sioux River Mental Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SIOUX RIVER MENTAL HEALTH SERVICES LLC

Practice address

431 N Phillips Ave Ste 340
Sioux Falls, SD 57104-5933

Phone

(605) 413-6957

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Justin Falon, MS, LPC-MH, LAC, QMHNPI 1528200219

Title

Owner / Provider

Phone

(605) 413-6957

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Lee Falon, MS LPC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1528200219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1306310065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N PHILLIPS AVE STE 340",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045933",
            "telephone_number": "605-413-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N PHILLIPS AVE STE 340",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045933",
            "telephone_number": "605-413-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX RIVER MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FALON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "605-413-6957",
        "authorized_official_credential": "MS, LPC-MH, LAC, QMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "833124997",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.