Support Circle Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPCMH2303 Issued in SD

Legal business name

SUPPORT CIRCLE INC

Practice address

1710 E Grand Xing
Mobridge, SD 57601-1414

Phone

(605) 845-2058

Fax

(606) 845-2062

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Lynne Haefner, LPCMHNPI 1114339413

Title

Owner

Phone

(605) 845-2058

Specialties & licenses 2

Addresses

Other names 1

• The Support Circle, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynne Haefner, M.S. LPC-MH, LPCC

  • Mental Health Counselor
  • Mobridge, SD
  • NPI 1114339413

  SD

  Medicare reassignment NPD Authorized official
• Ashley Dawn Geist, LPC-20667-SUPV

  • Professional Counselor
  • Mobridge, SD
  • NPI 1073290292
  NPD
• Jennifer Ashley-Marie Pepin, RD, LDN

  • Registered Dietitian
  • Mobridge, SD
  • NPI 1619463387
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1457720476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011414",
            "telephone_number": "605-845-2058",
            "fax_number": "605-845-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011414",
            "telephone_number": "605-845-2058",
            "fax_number": "606-845-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 8th Ave NE Ste 2201",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574013232",
            "country_code": "US",
            "telephone_number": "605-845-2058",
            "fax_number": "604-845-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPPORT CIRCLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "HAEFNER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-845-2058",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "695-8-1-11-245",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SD",
            "license": "LPCMH2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Support Circle, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Support Circle, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Mobridge, SD
• Community/Behavioral Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.