Organization Active NPI

Jeffcoat Counseling Services, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1396513974
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEFFCOAT COUNSELING SERVICES, LLC
Practice address
5024 S Bur Oak PL Ste 115
Sioux Falls, SD 57108-2237
Phone
(605) 610-9156
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Wanda J Jeffcoat, MS, LPC-MH, QMHPNPI 1891201992
Title
Owner, Provider
Phone
(605) 610-9156

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

5024 S Bur Oak PL Ste 115
Sioux Falls, SD 57108-2237

Mailing address

5024 S Bur Oak PL Ste 115
Sioux Falls, SD 57108-2237
Phone (605) 610-9156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306000520 SD Part B Supplier - Clinic/Group Practice 3476999087 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

5024 S Bur Oak Pl
Ste 115
Sioux Falls, SD 57108
Phone (605) 335-1516

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1396513974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 S BUR OAK PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082237",
            "telephone_number": "605-610-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 S BUR OAK PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082237",
            "telephone_number": "605-610-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFCOAT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-04-30",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "605-610-9156",
        "authorized_official_credential": "MS, LPC-MH, 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 Apr 30, 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.