Michele N Fritz
Individual provider Active NPI Mental Health Counselor · Aberdeen, SD
NPI 1366069759 · NPPES record last updated Aug 31, 2023
Key facts
- NPI
- 1366069759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-MH30732 (SD)
- Practice address
- 14 S Main St Ste 1E
Aberdeen, SD 57401-4189 - Phone
- (605) 225-1010
- Fax
- (605) 725-8055
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeastern Mental Health Center
Practice addresses (Care Compare)
14 S Main St
Suite 1E
Aberdeen, SD 57401-4189
Phone (605) 225-1010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131004377 | SD | Practitioner - Mental Health Counselor | 5991158487 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-MH30732 | SD | MD | Mental Health Counselor |
| LPC20632 | SD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Mental Health Center | Counselor | Current |
Accepting new patients |
Locations
14 S Main St
Ste 1E
Aberdeen, SD 57401
Phone (605) 225-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | LPC20632 | SD | |
| Mental Health Counselor | 101YM0800X | LPC-MH30732 | SD | Yes |
Addresses
Primary practice location
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Mailing address
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone (605) 225-1010
Other providers in Aberdeen, SD
- Catherine L Frisko-Holsing
- Bari Elizabeth Fritz
- Daniel Robert Fritz
- John Robert Fritz
- Marcy Fritz
- Robert Ashly Froke
- Michael Fucci
- Nona A Gab
- Latonya C.M. Gage
- Angela Kay Gaikowski
All providers in Aberdeen, SD · Mental Health Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.