Individual provider Active NPI

Tammy Rae Lias, LMFT, QMHP

  • Marriage & Family Therapist
  • Baltic, SD
National Provider Identifier
1578633160
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT1192 Issued in SD
Practice address
47558 254TH St
Baltic, SD 57003-5930
Phone
(605) 351-0475
NPI assigned
Nov 9, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT1192 SD Primary

Addresses

Primary practice location

47558 254TH St
Baltic, SD 57003-5930

Mailing address

47558 254TH St
Baltic, SD 57003-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514003326 SD Practitioner - Marriage and Family Therapist 0941268395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 S Sycamore Ave
Suite 200
Sioux Falls, SD 57110-3711
Phone (605) 351-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Therapy and Consulting LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

1500 S Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 951-0059

1500 S Sycamore Ave
Ste 200
Sioux Falls, SD 57110
Phone (605) 351-1545

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1578633160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47558 254TH ST",
            "city": "BALTIC",
            "state": "SD",
            "postal_code": "570035930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47558 254TH ST",
            "city": "BALTIC",
            "state": "SD",
            "postal_code": "570035930",
            "telephone_number": "605-351-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAS",
        "first_name": "TAMMY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltic, SD

Sources for this page

Verify at the official NPI Registry.