Kristine Dejaeghere-Tillett Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTINE DEJAEGHERE-TILLETT COUNSELING, LLC

Practice address

3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266

Phone

(605) 663-4600

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Dejaegherre-Tillett, LPC

Title

Owner

Phone

(605) 881-8740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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.

• Kristine M Dejaeghere-Tillett, LPC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1780293159
  Medicare reassignment NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1578210449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 S CENTER AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054814",
            "telephone_number": "605-881-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE DEJAEGHERE-TILLETT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "DEJAEGHERRE-TILLETT",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-881-8740",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan L Kringstad, MSW, CSW-PIP
• Stephani Ann Kringstad
• Alyssa Ann Kristensen, MA
• Kristiana Benson Counseling, LLC
• Kristina Susan, LLC (Hope & Healing Counseling)
• Rebecca Krivarchka, C.N.P.
• Makayla Kroeplin, PHARMD
• Jane Lillian Kroese, FNP-C
• Danny Kroeze
• Emma Kroeze, CNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.