Monica Rae Meyer Pankow, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT1217 Issued in SD

Practice address

301 Veterans Ave
Sisseton, SD 57262-1901

Phone

(605) 698-7688

NPI assigned

Feb 2, 2011

Last updated

May 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Monica Rae Meyer Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Sapphire Blue Behavioral Health Solutions

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1558839068
  Medicare reassignment NPD
• Human Service Agency

  • Addiction (Substance Use Disorder) Counselor
  • Watertown, SD
  • NPI 1720074644
  NPD (past)

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1669778940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572620126",
            "telephone_number": "605-698-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VETERANS AVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621901",
            "telephone_number": "605-698-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER PANKOW",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MEYER",
            "middle_name": "RAE",
            "credential": "MS,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Lutjens, RN
• Paula Ann McBride, LPN
• Sara McGregor-Okroi
• Gregory McGriff, M.D.
• David T Meadows, M.D.
• Christina Meyer, OTR
• James Brian Moeller, MT
• Kimberly Ann Moore, DDS
• Francine Louise Mousseau, MD
• Kathi Marie Murray, MS,RD,LD

• Marriage & Family Therapist in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Marriage & Family Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.