Individual provider Active NPI

Kimberly Rowbotham, MS, LPC-MH, NCC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1649853987
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2828 Issued in MN
Practice address
4109 S Carnegie Cir
Sioux Falls, SD 57106-2321
Phone
(605) 610-8698
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2828 MN Primary

Addresses

Primary practice location

4109 S Carnegie Cir
Sioux Falls, SD 57106-2321

Mailing address

4109 S Carnegie Cir
Sioux Falls, SD 57106-2321
Phone (605) 203-2041

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
I20240816001508 SD Practitioner - Mental Health Counselor 7517405921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4109 S Carnegie Cir
Sioux Falls, SD 57106-2321
Phone (605) 203-2041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Rowbotham Counseling LLC CurrentSince Apr 24, 2024 Accepting new patients
Southwestern Mental Health Center Inc PastSince May 1, 2021 Accepting new patients

Locations

4109 S Carnegie Cir
Sioux Falls, SD 57106
Phone (605) 203-2041

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1649853987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 S CARNEGIE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062321",
            "telephone_number": "605-203-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 S CARNEGIE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062321",
            "telephone_number": "605-610-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWBOTHAM",
        "first_name": "KIMBERLY",
        "credential": "MS, LPC-MH, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-07-16",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.