Active NPI
Total Package Medspa LLC
- Mental Health Counselor
- Aberdeen, SD
National Provider Identifier
1508317074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TOTAL PACKAGE MEDSPA LLC
- Practice address
- 1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950 - Phone
- (605) 725-4772
- Fax
- (605) 725-4777
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ginger Conklin, RN BSN
- Title
- Business Owner
- Phone
- (605) 725-4772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950
Mailing address
PO Box 5126
Sioux Falls, SD 57117-5126
Phone (605) 335-1952
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1508317074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175126",
"telephone_number": "605-335-1952",
"fax_number": "605-373-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 6TH AVE SE STE 5",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014950",
"telephone_number": "605-725-4772",
"fax_number": "605-725-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL PACKAGE MEDSPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "CONKLIN",
"authorized_official_first_name": "GINGER",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "605-725-4772",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.