Active NPI
Human Service Agency
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 704
- Legal business name
- HUMAN SERVICE AGENCY
- Practice address
- 123 19TH St NE
Watertown, SD 57201-2823 - Phone
- (605) 886-0123
- Fax
- (605) 886-5447
- NPI assigned
- Sep 26, 2005
- Last updated
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kari Johnston, LPC-MH
- Title
- Ceo
- Phone
- (605) 886-0123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 006 | SD | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 704 | SD | Primary |
| Psychologist | 103T00000X | 006 | SD | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 704 | SD | |
| Psychiatry Physician | 2084P0800X | 006 | SD | |
| Addiction Psychiatry Physician | 2084P0802X | 704 | SD | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 006 | SD | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 704 | SD | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 006 | SD | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 704 | SD | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 006 | SD | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 704 | SD |
Addresses
Primary practice location
123 19TH St NE
Watertown, SD 57201-2823
Mailing address
123 19TH St NE
Watertown, SD 57201-2823
Phone (605) 886-0123
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5256010 | Medicaid | SD | |
| 5255010 | Medicaid | SD | |
| 0180020 | Medicaid | SD | |
| 5200010 | Medicaid | SD | |
| 5001040 | Medicaid | SD | |
| 5261010 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1303 E 4th Ave
Milbank, SD 57252
Phone (605) 432-4930
301 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-7688
Practitioners & affiliated clinicians
Practitioners 92
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Watertown, SD
- NPI 1538154554
-
- Mental Health Counselor
- Vermillion, SD
- NPI 1689256034
-
- Counselor
- Watertown, SD
- NPI 1871135087
-
- Clinical Social Worker
- Watertown, SD
- NPI 1174750343
-
- Psychiatric/Mental Health Nurse Practitioner
- Watertown, SD
- NPI 1255924791
-
- Clinical Social Worker
- Watertown, SD
- NPI 1144690090
-
- Psychiatric/Mental Health Nurse Practitioner
- Watertown, SD
- NPI 1245274240
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1447943428
-
- Mental Health Counselor
- Watertown, SD
- NPI 1760136857
-
- Clinical Social Worker
- Watertown, SD
- NPI 1730650938
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1093005639
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1629018445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1720074644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012823",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012823",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMAN SERVICE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "KARI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-886-0123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC-MH"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "704",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "704",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "SD",
"license": "704",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "SD",
"license": "704",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SD",
"license": "704",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SD",
"license": "006",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SD",
"license": "704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5256010",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5255010",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180020",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5200010",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5001040",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5261010",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.