Amanda Renee Carter-Boomsma, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC7090 Issued in SD

Practice address

1424 9TH Ave SE
Suite 7
Watertown, SD 57201-5383

Phone

(605) 882-2740

Fax

(605) 882-4323

NPI assigned

Sep 30, 2011

Last updated

Sep 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: No
• 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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

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.

• Amanda Carter-Boomsma

  • Counselor
  • Watertown, SD
  • NPI 1992167951
  NPD (past) Authorized official
• Lutheran Social Services of South Dakota Inc

  dba Lutheran Social Services of SD

  • Voluntary or Charitable Agency
  • Sioux Falls, SD
  • NPI 1194885723
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1689958209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056048",
            "telephone_number": "605-357-0100",
            "fax_number": "605-357-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 9TH AVE SE",
            "address_2": "SUITE 7",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015383",
            "telephone_number": "605-882-2740",
            "fax_number": "605-882-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-BOOMSMA",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Bunnell, AUDIOLOGIST
• Vickie Lynn Burchatz, COTA
• Jennifer Lee Byer, PA-C
• Care Anywhere
• David T. Carlson, MD
• Roger L Carter, MD
• Christine Marie Cass, PT
• Catholic Family Services
• Cedar Lakes Therapy, LLC
• Chad D. Beynon, O.D., P.C.

• Counselor in Watertown, SD
• Providers in Watertown, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.