Organization Active NPI

Agape Counseling Center LLC

  • Mental Health Counselor
  • Brandon, SD
National Provider Identifier
1316635212
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AGAPE COUNSELING CENTER LLC
Practice address
700 S 8TH Ave
Brandon, SD 57005-1772
Phone
(605) 582-4722
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Erin L Sanford, LPC-MHNPI 1053559146
Title
Counselor
Phone
(605) 359-6432

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

700 S 8TH Ave
Brandon, SD 57005-1772

Mailing address

700 S 8TH Ave
Brandon, SD 57005-1772
Phone (605) 582-4722

Other names 1

  • G&B properties Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131004180 SD Part B Supplier - Clinic/Group Practice 2769835255 Receives reassigned benefits from 2 practitioners
Practice locations: Brandon, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1316635212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 8TH AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051772",
            "telephone_number": "605-582-4722",
            "fax_number": "605-582-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 8TH AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051772",
            "telephone_number": "605-582-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "605-359-6432",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G&B properties",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "G&B properties",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.