Individual provider Active NPI

Gary L Hofman, EDD

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1700863206
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SDLPCMH2032 Issued in SD
Practice address
4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124
Phone
(605) 334-7713
Fax
(605) 334-5348
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SDCCDCIII1051148 SD
Mental Health Counselor 101YM0800X SDLPCMH2032 SD Primary

Addresses

Primary practice location

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124

Mailing address

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124
Phone (605) 334-7713

Other identifiers 2

IdentifierTypeStateIssuer
6575260MedicaidSD
4998512OtherSDBCBS

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
I20240510000244 SD Practitioner - Mental Health Counselor 4183068489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Cafe LLCGroup PAC ID 6002250305, 2 clinicians

Practice addresses (Care Compare)

4804 S Minnesota Ave
Suite 108
Sioux Falls, SD 57108-5023
Phone (605) 271-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SDCCDCIII1051148SDMDAddiction (Substance Use Disorder) Counselor
SDLPCMH2032SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Cafe, LLC CurrentSince Mar 3, 2024 Accepting new patients
Stronghold Counseling Services Inc Past Accepting new patients

Locations

4804 S Minnesota Ave
Ste 108
Sioux Falls, SD 57108
Phone (605) 201-3838

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1700863206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMAN",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "SDCCDCIII1051148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "SDLPCMH2032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575260",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4998512",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.