Adam John Wolthuizen, MS, LPC-MH, NCC,QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH20391 Issued in SD

Practice address

3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266

Phone

(605) 663-4600

Fax

(605) 663-4663

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Adam Wolthuizen Counseling, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1417521543
  NPD Authorized official
• Southeastern Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1114002573
  NPD (past)
• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1689948317
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1457879710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTHUIZEN",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "credential": "MS, LPC-MH, NCC,QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH20391",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Wolles, LCSW, QMHP
• Adam N Wollman, CRNA
• Jenifer M. Wollman, PHARMD, CSP
• Faith Wollmann, BCBA
• Trevor Mark Wolterstorff
• Matthew E Wolthuizen, MA, LPCMH, NCC, QMHP
• Carol Woltzen, MA CCC-SLP
• Wonderful-Home
• Gisella Sarita Wong Nano, M.D.
• Christopher D Wong, MD

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.