Organization Active NPI

Jill a Donelan

  • Community/Behavioral Health Agency
  • Madison, SD
National Provider Identifier
1457740003
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCMH2241 Issued in SD
Legal business name
JILL A DONELAN
Practice address
1711 Sunrise Dr
Madison, SD 57042-6735
Phone
(605) 480-3683
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mrs. Jill Ann Donelan, NCC, LPC-MH, QMHPNPI 1982715660
Title
Mental Health Therapist
Phone
(605) 480-3683

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
Community/Behavioral Health Agency 251S00000X LPCMH2241 SD Primary

Addresses

Primary practice location

1711 Sunrise Dr
Madison, SD 57042-6735

Mailing address

1711 Sunrise Dr
Madison, SD 57042-6735
Phone (605) 480-3683

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1457740003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SUNRISE DR",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570426735",
            "telephone_number": "605-480-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SUNRISE DR",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570426735",
            "telephone_number": "605-480-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A DONELAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "DONELAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "605-480-3683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCC, LPC-MH, QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SD",
            "license": "LPCMH2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.