Organization Active NPI

Total Package Medspa LLC

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1508317074
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 20, 2016

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.