Organization Active NPI

Footsteps Counseling, LLC

  • Professional Counselor
  • Aberdeen, SD
National Provider Identifier
1407205339
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCMH2309 Issued in SD
Legal business name
FOOTSTEPS COUNSELING, LLC
Practice address
514 S Main St
Aberdeen, SD 57401-4165
Phone
(605) 377-7570
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Heidie J Holmstrom, LPC-MH, LPC, NCC, QMNPI 1093184681
Title
Owner/ Licensed Professional Counse
Phone
(605) 377-7570

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC 7375 SD
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPCMH2309 SD Primary

Addresses

Primary practice location

514 S Main St
Aberdeen, SD 57401-4165

Mailing address

PO Box 1221
Aberdeen, SD 57402-1221
Phone (605) 377-7570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001046 SD Part B Supplier - Clinic/Group Practice 1658724364 Receives reassigned benefits from 3 practitioners
Practice locations: Aberdeen, SD

National Provider Directory

National Provider Directory

Locations

514 S Main St
Aberdeen, SD 57401
Phone (605) 377-7570

Practitioners & affiliated clinicians

Practitioners 4

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": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1407205339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021221",
            "telephone_number": "605-377-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014165",
            "telephone_number": "605-377-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSTEPS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "HOLMSTROM",
        "authorized_official_first_name": "HEIDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ LICENSED PROFESSIONAL COUNSE",
        "authorized_official_telephone_number": "605-377-7570",
        "authorized_official_credential": "LPC-MH, LPC, NCC, QM"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC 7375",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPCMH2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.