Individual provider Active NPI

Anne Marie Goraj-McDade, MA

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1467863597
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30565 Issued in SD
Practice address
2200 W 49TH St Ste 105
Sioux Falls, SD 57105-6550
Phone
(605) 376-8810
Fax
(605) 799-8183
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC00757 MN
Mental Health Counselor 101YM0800X 30565 SD Primary

Addresses

Primary practice location

2200 W 49TH St Ste 105
Sioux Falls, SD 57105-6550

Mailing address

2200 W 49TH St Ste 105
Sioux Falls, SD 57105-6550
Phone (605) 376-8810

Other identifiers 1

IdentifierTypeStateIssuer
2019736MedicaidSD

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
I20240802000204 SD Practitioner - Mental Health Counselor 9537606983 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 W 49TH St
Suite 105
Sioux Falls, SD 57105-6550
Phone (605) 799-8183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC00757MNMDMental Health Counselor
30565SDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1467863597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 49TH ST STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056550",
            "telephone_number": "605-376-8810",
            "fax_number": "605-799-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 49TH ST STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056550",
            "telephone_number": "605-376-8810",
            "fax_number": "605-799-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAJ-MCDADE",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "30565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019736",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.