Active NPI
Mindful Roots Counseling Services LLC
- Mental Health Counselor
- Aberdeen, SD
National Provider Identifier
1306527908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDFUL ROOTS COUNSELING SERVICES LLC
- Practice address
- 634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593 - Phone
- (605) 846-7038
- Fax
- (605) 401-4087
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky Schuldt, LPC-MH
- Title
- Owner
- Phone
- (605) 846-7038
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Mailing address
634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Phone (605) 846-7038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 6th Ave SE
Ste 2
Aberdeen, SD 57401
Phone (605) 846-7038
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Aberdeen, SD
- NPI 1821363474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1306527908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 S ROOSEVELT ST STE 4",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574016593",
"telephone_number": "605-846-7038",
"fax_number": "605-401-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 S ROOSEVELT ST STE 4",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574016593",
"telephone_number": "605-846-7038",
"fax_number": "605-401-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL ROOTS COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "SCHULDT",
"authorized_official_first_name": "BECKY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-846-7038",
"authorized_official_credential": "LPC-MH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.