Katelyn Tilstra, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC20385 Issued in SD

Practice address

6209 E Silver Maple Cir Ste 102
Sioux Falls, SD 57110-7807

Phone

(605) 799-6182

Fax

(844) 602-4652

NPI assigned

Feb 28, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Emily Gislason LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1336771252
  NPD

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1700410768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 E SILVER MAPLE CIR STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107807",
            "telephone_number": "605-799-6182",
            "fax_number": "844-602-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 E SILVER MAPLE CIR STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107807",
            "telephone_number": "605-799-6182",
            "fax_number": "844-602-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILSTRA",
        "first_name": "KATELYN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Joy Tietjen, NP
• Methmini Tilakaratne, RBT
• Amanda Tilberg, CNP
• Mallary Ann Tilden, APRN, NNP-BC
• Rebecca Renae Tillma
• Audra Lynn Timmer, DNAP
• Gary Timmerman, MD
• Patricia Lynn Timmermans, PT
• Benita Timpe, CNP
• Joshua David Tims, O.D.

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.