Individual provider Active NPI

Amy Louise Ward, LPC, QMHP

  • Counselor
  • Brookings, SD
National Provider Identifier
1407374374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC7334 Issued in SD
Practice address
211 4TH St
Brookings, SD 57006-1917
Phone
(605) 697-2850
Fax
(605) 697-2874
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC7334 SD Primary

Addresses

Primary practice location

211 4TH St
Brookings, SD 57006-1917

Mailing address

211 4TH St
Brookings, SD 57006-1917
Phone (605) 697-2850

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240916003031 SD Practitioner - Mental Health Counselor 4587105754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 4TH St
Brookings, SD 57006-1917
Phone 605697285040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC7334SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mental Health & Chemical Dependency Center CurrentSince Jul 6, 2024 Accepting new patients

Locations

211 4th St
Brookings, SD 57006
Phone (605) 692-6892

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407374374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061917",
            "telephone_number": "605-697-2850",
            "fax_number": "605-697-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061917",
            "telephone_number": "605-697-2850",
            "fax_number": "605-697-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "LPC, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC7334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.