Individual provider Active NPI

Nicole Marie Velgersdyk, MS, LPC, NCC, CRC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1720351976
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2248 Issued in SD
Practice address
3240 E Bison TRL Ste 200
Sioux Falls, SD 57108-8006
Phone
(605) 961-4746
Fax
(605) 961-4647
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC7209 SD
Mental Health Counselor 101YM0800X LPC-MH2248 SD Primary

Addresses

Primary practice location

3240 E Bison TRL Ste 200
Sioux Falls, SD 57108-8006

Mailing address

2000 S Summit Ave
Sioux Falls, SD 57105-2727
Phone (605) 336-0510

Other practice location 1

2000 S Summit Ave
Sioux Falls, SD 57105-2727
Phone (605) 336-0510

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-MH2248SDMDMental Health Counselor
LPC7209SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Velgersdyk Counseling, LLC Current Accepting new patients
Southeastern Behavioral Healthcare PastSince Dec 18, 2013 Accepting new patients
Southeastern Behavioral Healthcare Past Accepting new patients

Locations

3240 E Bison Trl
Ste 200
Sioux Falls, SD 57108
Phone (605) 961-4746

Organizations & group practices 3

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1720351976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S SUMMIT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052727",
            "telephone_number": "605-336-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 E BISON TRL STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088006",
            "telephone_number": "605-961-4746",
            "fax_number": "605-961-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571052727",
            "country_code": "US",
            "telephone_number": "605-336-0510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELGERSDYK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7209",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 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.