Individual provider Active NPI

Lisa Joan Stellinga, MS

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1487654026
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone
(605) 361-0114
Fax
(605) 332-1723
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711

Mailing address

1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone (605) 361-0114

Other identifiers 1

IdentifierTypeStateIssuer
6575540MedicaidSD

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
I20240221003628 SD Practitioner - Mental Health Counselor 0244674851 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 S Sycamore Ave
Suite 102
Sioux Falls, SD 57110-3711
Phone (605) 361-0114

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1487654026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103711",
            "telephone_number": "605-361-0114",
            "fax_number": "605-332-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103711",
            "telephone_number": "605-361-0114",
            "fax_number": "605-332-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLINGA",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575540",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.