Active NPI
Holly Imrie
- Professional Counselor
- Aberdeen, SD
National Provider Identifier
1669905915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC7393
- Practice address
- 14 S Main St
Suite 1E
Aberdeen, SD 57401-4172 - Phone
- (605) 225-1010
- Fax
- (605) 725-8055
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC7393 | SD | Primary |
Addresses
Primary practice location
14 S Main St
Suite 1E
Aberdeen, SD 57401-4172
Mailing address
14 S Main St
Suite 1E
Aberdeen, SD 57401-4172
Phone (605) 225-1010
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC7393 | SD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Mental Health Center | Professional | Past | 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": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1669905915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 S MAIN ST",
"address_2": "SUITE 1E",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014172",
"telephone_number": "605-225-1010",
"fax_number": "605-725-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S MAIN ST",
"address_2": "SUITE 1E",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014172",
"telephone_number": "605-225-1010",
"fax_number": "605-725-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMRIE",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC7393",
"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 Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.