Individual provider Active NPI

Ian S Charnley, LIMHP, QMHP

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1710277280
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9346 Issued in NE
Practice address
2101 W 69TH St Unit 103
Sioux Falls, SD 57108-5622
Phone
(605) 274-0095
Fax
(605) 271-0951
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9346 NE Primary

Addresses

Primary practice location

2101 W 69TH St Unit 103
Sioux Falls, SD 57108-5622

Mailing address

2101 W 69TH St Unit 103
Sioux Falls, SD 57108-5622
Phone (605) 271-0951

Other identifiers 1

IdentifierTypeStateIssuer
96118OtherNEBCBS

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9346NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly J Keiser Mental Health CurrentSince Nov 7, 2025 Accepting new patients
Kimberly J Keiser Mental Health CurrentSince Nov 18, 2025 Accepting new patients

Locations

2101 W 69th St
Unit 103
Sioux Falls, SD 57108
Phone (605) 274-0095

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1710277280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W 69TH ST UNIT 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085622",
            "telephone_number": "605-271-0951",
            "fax_number": "605-271-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W 69TH ST UNIT 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085622",
            "telephone_number": "605-274-0095",
            "fax_number": "605-271-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNLEY",
        "first_name": "IAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LIMHP, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96118",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; 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.