Individual provider Active NPI

Allison Walsh, LPC

  • Mental Health Counselor
  • Vermillion, SD
National Provider Identifier
1568925675
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH30566 Issued in SD
Practice address
21 Market St
Vermillion, SD 57069-3037
Phone
(605) 670-1040
Fax
(605) 679-6603
NPI assigned
Apr 8, 2019
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 LPCMH30566 SD Primary
Professional Counselor 101YP2500X LPC20341 SD

Addresses

Primary practice location

21 Market St
Vermillion, SD 57069-3037

Mailing address

21 Market St
Vermillion, SD 57069-3037
Phone (605) 670-1040

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL willowtree.counseling@yahoo.com

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
LPCMH30566SDMDMental Health Counselor
LPC20341SDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1568925675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693037",
            "telephone_number": "605-670-1040",
            "fax_number": "605-679-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693037",
            "telephone_number": "605-670-1040",
            "fax_number": "605-679-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALLISON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH30566",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "willowtree.counseling@yahoo.com",
            "affiliation": "N",
            "address_1": "1545 Crestview Dr",
            "city": "Vermillion",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570693437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.