Individual provider Active NPI

Melissa Jockheck, LPC MH QMHP CDVCIII

  • Mental Health Counselor
  • Pierre, SD
National Provider Identifier
1649248287
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
740 E Sioux Ave Ste 110
Pierre, SD 57501-3396
Phone
(605) 224-7247
Fax
(605) 224-5660
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCMH SD
Professional Counselor 101YP2500X CDVCIII SD
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

740 E Sioux Ave Ste 110
Pierre, SD 57501-3396

Mailing address

740 E Sioux Ave Ste 110
Pierre, SD 57501-3396
Phone (605) 224-7247

Other identifiers 3

IdentifierTypeStateIssuer
6575460MedicaidSD
4997487OtherSDBCBS
8729062OtherSDDAKOTACARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mjockheck30@hotmail.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDVCIIISDMDProfessional Counselor
LPCMHSDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jockheck Counseling and Consulting, LLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

740 E Sioux Ave
Ste 110
Pierre, SD 57501
Phone (605) 224-7247

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1649248287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E SIOUX AVE STE 110",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013396",
            "telephone_number": "605-224-7247",
            "fax_number": "605-224-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E SIOUX AVE STE 110",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013396",
            "telephone_number": "605-224-7247",
            "fax_number": "605-224-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCKHECK",
        "first_name": "MELISSA",
        "credential": "LPC MH QMHP CDVCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPCMH",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "CDVCIII",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575460",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4997487",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "8729062",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mjockheck30@hotmail.com",
            "affiliation": "N",
            "address_1": "740 E Sioux Ave Ste 110",
            "city": "Pierre",
            "state": "SD",
            "country_code": "US",
            "postal_code": "575013396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.