Amanda R Devries, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

20603 Issued in SD

Practice address

1424 9TH Ave SE Ste 7
Watertown, SD 57201-5361

Phone

(605) 882-2740

Fax

(605) 882-4323

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD, CO2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Momentum Counseling and Consulting LLCGroup PAC ID 3779922083, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Momentum Counseling and Consulting LLC

  • Mental Health Counselor
  • Ft. Collins, CO
  • NPI 1780356188
  Medicare reassignment Care Compare group NPD
• Momentum Counseling and Consulting LLC

  • Marriage & Family Therapist
  • Cheyenne, WY
  • NPI 1689487670
  NPD
• Momentum Counseling and Consulting LLC

  • Marriage & Family Therapist
  • Sioux Falls, SD
  • NPI 1457150914
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1316600083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056047",
            "telephone_number": "605-444-7643",
            "fax_number": "605-444-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 9TH AVE SE STE 7",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015361",
            "telephone_number": "605-882-2740",
            "fax_number": "605-882-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "20603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@lsssd.org",
            "affiliation": "Y",
            "endpointDescription": "This is where you may email for information on the provider.",
            "affiliationName": "Lutheran Social Services of South Dakota Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Notifications, Referrals etc.",
            "address_1": "1424 9th Ave SE Ste 7",
            "city": "Watertown",
            "state": "SD",
            "country_code": "US",
            "postal_code": "572015361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Todd Decker, AU.D.
• Donna Lynn Dettmann, MS, OTR/L
• Frederick E Deutsch, DC
• Kathleen Deutsch, DC
• William W Devine, MD
• Diagnostic Radiology Associates LLC
• Edward A Dickes, M.D.
• Jessica Dickes, M.D.
• Leeann Diercks, D.D.S.
• Bryan Garry Dingsor, DC

• Counselor in Watertown, SD
• Providers in Watertown, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.