Individual provider Active NPI

Bondell K Raeder-Aleck

  • Addiction (Substance Use Disorder) Counselor
  • Aberdeen, SD
National Provider Identifier
1538283973
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18091798 Issued in SD
Practice address
14 S Main St
Suite 1E
Aberdeen, SD 57401-4136
Phone
(605) 225-1010
Fax
(605) 225-1017
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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
Addiction (Substance Use Disorder) Counselor 101YA0400X 18091798 SD Primary

Addresses

Primary practice location

14 S Main St
Suite 1E
Aberdeen, SD 57401-4136

Mailing address

14 S Main St
Suite 1E
Aberdeen, SD 57401-4136
Phone (605) 225-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18091798SDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Mental Health Center Addiction (Substance Use Disorder) PastSince Nov 16, 1999 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1538283973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "address_2": "SUITE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014136",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST",
            "address_2": "SUITE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014136",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEDER-ALECK",
        "first_name": "BONDELL",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "18091798",
            "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 Sep 18, 2019; 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.