Individual provider Active NPI

Cora Ann Youngberg

  • Social Worker
  • Vermillion, SD
National Provider Identifier
1619650876
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6434 Issued in SD
Practice address
717 E Main St
Vermillion, SD 57069-3312
Phone
(605) 494-1500
NPI assigned
Aug 14, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6434 SD
Mental Health Counselor 101YM0800X 121337 IA
Social Worker 104100000X 121337 IA
Social Worker 104100000X 6434 SD Primary

Addresses

Primary practice location

717 E Main St
Vermillion, SD 57069-3312

Mailing address

335 N Norbeck St Apt 131
Vermillion, SD 57069-2860
Phone (605) 291-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121337IAMDMental Health Counselor
6434SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC Mental Health CurrentSince Jul 28, 2026 Accepting new patients

Locations

610 W 23rd St
Ste 5
Yankton, SD 57078
Phone (605) 204-6646

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1619650876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N NORBECK ST APT 131",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692860",
            "telephone_number": "605-291-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693312",
            "telephone_number": "605-494-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBERG",
        "first_name": "CORA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "6434",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "121337",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "121337",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

Verify at the official NPI Registry.