NPIMap

Organization Active NPI

Integrated Care and Consultation, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1336702273
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATED CARE AND CONSULTATION, LLC
Practice address
4948 E 57TH St
Sioux Falls, SD 57108-8705
Phone
(605) 306-3050
NPI assigned
Apr 16, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Karla Bossman
Title
Billing
Phone
(605) 660-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4948 E 57TH St
Sioux Falls, SD 57108-8705

Mailing address

4948 E 57TH St
Sioux Falls, SD 57108-8705
Phone (605) 306-3050

Other identifiers 1

IdentifierTypeStateIssuer
4744OtherSDLCSW-PIP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191227000698 SD Part B Supplier - Clinic/Group Practice 6002240066 Receives reassigned benefits from 10 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

5048 E 57th St
Ste B
Sioux Falls, SD 57108
Phone (605) 306-3240

5100 E Rosa Parks Pl
Sioux Falls, SD 57110
Phone (605) 306-3240

100 Silver Creek Dr
Wentworth, SD 57075
Phone (605) 306-3240

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1336702273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 E 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088705",
            "telephone_number": "605-306-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 E 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088705",
            "telephone_number": "605-306-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BOSSMAN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "605-660-8627"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-PIP",
            "identifier": "4744",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.