Active NPI
Anchored Mind Counseling, LLC
- Clinical Social Worker
- Aberdeen, SD
National Provider Identifier
1639959786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ANCHORED MIND COUNSELING, LLC
- Practice address
- 708 S Roosevelt St Ste 2
Aberdeen, SD 57401-0300 - Phone
- (605) 857-0714
- NPI assigned
- Oct 4, 2023
- Last updated
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasha Lorraine Hoeltzner, MSW, LCSW-PIP, QMHP
- Title
- LCSW-Pip, Owner
- Phone
- (605) 857-0714
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
708 S Roosevelt St Ste 2
Aberdeen, SD 57401-0300
Mailing address
708 S Roosevelt St Ste 2
Aberdeen, SD 57401-0300
Phone (605) 770-3413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Aberdeen, SD
- NPI 1457907727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1639959786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S ROOSEVELT ST STE 2",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574010300",
"telephone_number": "605-770-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S ROOSEVELT ST STE 2",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574010300",
"telephone_number": "605-857-0714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHORED MIND COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "HOELTZNER",
"authorized_official_first_name": "TASHA",
"authorized_official_middle_name": "LORRAINE",
"authorized_official_title_or_position": "LCSW-PIP, OWNER",
"authorized_official_telephone_number": "605-857-0714",
"authorized_official_credential": "MSW, LCSW-PIP, QMHP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.