Active NPI
Andrea L. Uckert, LLC
- Community/Behavioral Health Agency
- Brookings, SD
National Provider Identifier
1669963609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC-MH20334
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Uckert, LPC-MH, QMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Brookings, SD
- NPI 1992073951
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.