Individual provider Active NPI

Autumn M Neigel

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1679126577
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH30576 Issued in SD
Practice address
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone
(605) 225-1010
Fax
(605) 225-1017
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCMH30576 SD Primary
Professional Counselor 101YP2500X LPC20415 SD

Addresses

Primary practice location

14 S Main St Ste 1E
Aberdeen, SD 57401-4189

Mailing address

14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone (605) 225-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@nemhc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20240411003147 SD Practitioner - Mental Health Counselor 5890134720 Practice locations: Aberdeen, SD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH30576SDMDMental Health Counselor
LPC20415SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chasing Dandelions, LLC Mental Health CurrentSince Mar 5, 2024 Accepting new patients
Northeastern Mental Health Center Mental Health CurrentSince Jul 25, 2019 Accepting new patients

Locations

14 S Main St
Ste 1E
Aberdeen, SD 57401
Phone (605) 225-1010

708 S Roosevelt St
Ste 2
Aberdeen, SD 57401
Phone (605) 290-4742

Organizations & group practices 2

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1679126577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST STE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014189",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST STE 1E",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014189",
            "telephone_number": "605-225-1010",
            "fax_number": "605-225-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGEL",
        "first_name": "AUTUMN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH30576",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nemhc.org",
            "affiliation": "N",
            "address_1": "14 S Main St Ste 1E",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574014189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.