Individual provider Active NPI

David Willrodt, LPC

  • Mental Health Counselor
  • Mitchell, SD
National Provider Identifier
1669287173
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC20827 Issued in SD
Practice address
1130 S Burr St
Mitchell, SD 57301-4579
Phone
(605) 990-6500
Fax
(605) 732-8113
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 LPC20827 SD Primary

Addresses

Primary practice location

1130 S Burr St
Mitchell, SD 57301-4579

Mailing address

PO Box 65
Plankinton, SD 57368-0065
Phone (605) 990-6500

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
LPC20827SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Services, LLC Mental Health PastSince Feb 23, 2025 Accepting new patients

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1669287173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "573680065",
            "telephone_number": "605-990-6500",
            "fax_number": "605-732-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S BURR ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014579",
            "telephone_number": "605-990-6500",
            "fax_number": "605-732-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLRODT",
        "first_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.