Earl Gordon Witt, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1885 Issued in SD

Practice address

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124

Phone

(605) 334-7713

Fax

(605) 334-5348

NPI assigned

Dec 14, 2005

Last updated

May 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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 1

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2Degreechange LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1043984727
  Medicare reassignment NPD Authorized official
• Stronghold Counseling Services Inc

  • Counselor
  • Sioux Falls, SD
  • NPI 1093790891
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1366427163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "EARL",
        "middle_name": "GORDON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiswall Endodontics PC
• Andrew Thomas Wiswall, D.D.S
• Brian T Wiswall, DDS
• Laura R Withorne-Maloney, CNP
• Kylee Anne Withrow, OTD
• Lauren Witte, DDS, MS
• Matthew N Witte, MD
• Justin H Wittmayer, DPT
• Kristin Wittmayer, M.S., OTR/L
• Amy Wittrock

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.