Individual provider Active NPI

Connie Lee Nelson, MA QMHP LPCMH CCDC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1629061221
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH2116 Issued in SD
Practice address
3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864
Phone
(605) 961-7009
NPI assigned
Aug 30, 2005
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 45265
Addiction (Substance Use Disorder) Counselor 101YA0400X ICADC2245
Addiction (Substance Use Disorder) Counselor 101YA0400X 9605696 SD
Mental Health Counselor 101YM0800X LPCMH2116 SD Primary

Addresses

Primary practice location

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864

Mailing address

3500 S Phillips Ave Ste 100
Sioux Falls, SD 57105-6864
Phone (605) 961-7009

Other identifiers 1

IdentifierTypeStateIssuer
6576132MedicaidSD

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
I20250408001889 SD Practitioner - Mental Health Counselor 7517481880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 W Technology Cir
Sioux Falls, SD 57106-4233
Phone (605) 961-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9605696SDMDAddiction (Substance Use Disorder) Counselor
LPCMH2116SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connie L Nelson Inc CurrentSince Feb 9, 2025 Accepting new patients
Elevate Minds Psychiatry Counselor CurrentSince Nov 17, 2025 Accepting new patients

Locations

3500 S Phillips Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 215-5081

3801 W Technology Cir
Sioux Falls, SD 57106
Phone (605) 310-6040

3803 W Technology Cir
Sioux Falls, SD 57106
Phone (605) 496-9770

Organizations & group practices 2

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1629061221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "telephone_number": "605-961-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056864",
            "telephone_number": "605-961-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CONNIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA QMHP LPCMH CCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "45265",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "ICADC2245",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "9605696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6576132",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.