Organization Active NPI

Matthew Wolthuizen Counseling, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1346064904
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MATTHEW WOLTHUIZEN COUNSELING, LLC
Practice address
3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266
Phone
(605) 663-4600
Fax
(605) 663-4663
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Mr. Matthew Wolthuizen, LPC-MH, NCC, QMHPNPI 1770764532
Title
Mental Health Provider/Owner
Phone
(605) 663-4600

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266

Mailing address

3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266
Phone (605) 663-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205003112 SD Part B Supplier - Clinic/Group Practice 7517497597 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1346064904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WOLTHUIZEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "WOLTHUIZEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER/OWNER",
        "authorized_official_telephone_number": "605-663-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-MH, NCC, QMHP"
    },
    "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 Sioux Falls, SD

Sources for this page

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