Individual provider Active NPI

Emma Jayne Landstrom, MS

  • Mental Health Counselor
  • Huron, SD
National Provider Identifier
1316527419
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
110 3Rd St SW Ste 107
Huron, SD 57350-2432
Phone
(605) 412-6446
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

110 3Rd St SW Ste 107
Huron, SD 57350-2432

Mailing address

110 3Rd St SW Ste 107
Huron, SD 57350-2432
Phone (605) 412-6446

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
I20240527000307 SD Practitioner - Mental Health Counselor 2365884046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

Practice addresses (Care Compare)

420 S Henry St
Pierre, SD 57501-4515
Phone (605) 494-1500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC Mental Health CurrentSince May 14, 2024 Accepting new patients
Rising Hope Together, Inc Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

79 2nd St SW
Ste 202
Huron, SD 57350

317 N Heritage Ave
Tea, SD 57064

Organizations & group practices 2

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1316527419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 3RD ST SW STE 107",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502432",
            "telephone_number": "605-412-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD ST SW STE 107",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502432",
            "telephone_number": "605-412-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSTROM",
        "first_name": "EMMA",
        "middle_name": "JAYNE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.