Organization Active NPI

Kenny Pospischil

Doing business as Mindful Wellness, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1538735857
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KENNY POSPISCHIL
Doing business as
Mindful Wellness, LLC
Practice address
5000 S Mac Arthur LN Ste 104
Sioux Falls, SD 57108-5407
Phone
(605) 202-8283
Fax
(605) 202-8130
NPI assigned
May 27, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Stacy Olson
Title
Office Manager
Phone
(605) 521-9671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5000 S Mac Arthur LN Ste 104
Sioux Falls, SD 57108-5407

Mailing address

5000 S Mac Arthur LN Ste 104
Sioux Falls, SD 57108-5407
Phone (605) 202-8283

Other identifiers 2

IdentifierTypeStateIssuer
LPC20303OtherSDSD LPC LICENSE
CC02638OtherMNMN LPCC

Other names 1

  • Mindful Wellness, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1538735857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S MAC ARTHUR LN STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085407",
            "telephone_number": "605-202-8283",
            "fax_number": "605-202-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S MAC ARTHUR LN STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085407",
            "telephone_number": "605-202-8283",
            "fax_number": "605-202-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY POSPISCHIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-521-9671"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD LPC LICENSE",
            "identifier": "LPC20303",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LPCC",
            "identifier": "CC02638",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.