Organization Active NPI

Andrea L. Uckert, LLC

  • Community/Behavioral Health Agency
  • Brookings, SD
National Provider Identifier
1669963609
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-MH20334 Issued in SD
Legal business name
ANDREA L. UCKERT, LLC
Practice address
619 5TH Ave Ste 3
Brookings, SD 57006-1454
Phone
(605) 592-5300
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Andrea Uckert, LPC-MH, QMHPNPI 1992073951
Title
Owner
Phone
(605) 592-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC-MH20334 SD Primary

Addresses

Primary practice location

619 5TH Ave Ste 3
Brookings, SD 57006-1454

Mailing address

47879 211TH St
Bushnell, SD 57276-6603
Phone (605) 592-5300

National Provider Directory

National Provider Directory

Locations

619 5th Ave
Ste 3
Brookings, SD 57006
Phone (605) 592-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1669963609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47879 211TH ST",
            "city": "BUSHNELL",
            "state": "SD",
            "postal_code": "572766603",
            "telephone_number": "605-592-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 5TH AVE STE 3",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061454",
            "telephone_number": "605-592-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA L. UCKERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "UCKERT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-592-5300",
        "authorized_official_credential": "LPC-MH, QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SD",
            "license": "LPC-MH20334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.