Organization Active NPI

Kristina Susan, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1619619285
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRISTINA SUSAN, LLC
Doing business as
HOPE & HEALING COUNSELING
Practice address
7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603
Phone
(605) 880-6675
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Authorized official

Name
Kristina Susan Kaye Miller, MS, LPC, NCC, ACTNPI 1336791367
Title
Counselor
Phone
(605) 880-6675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603

Mailing address

7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603
Phone (605) 880-6675

Other names 1

  • HOPE & HEALING COUNSELING Doing business as

National Provider Directory

National Provider Directory

Locations

7405 S Bitterroot Pl
Ste 115
Sioux Falls, SD 57108
Phone (605) 880-6675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1619619285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 S BITTERROOT PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571081603",
            "telephone_number": "605-880-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 S BITTERROOT PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571081603",
            "telephone_number": "605-880-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA SUSAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "SUSAN KAYE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "605-880-6675",
        "authorized_official_credential": "MS, LPC, NCC, ACT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE & HEALING COUNSELING",
            "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 May 19, 2024; 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.