Individual provider Active NPI

Patrick Poitra, LPC, QMHP

  • Mental Health Counselor
  • Lemmon, SD
National Provider Identifier
1730216722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 1167 Issued in SD
Practice address
11 East 4TH St
Lemmon, SD 57645
Phone
(605) 823-4212
Fax
(605) 823-4212
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LPC 1167 SD Primary

Addresses

Primary practice location

11 East 4TH St
Lemmon, SD 57645

Mailing address

PO Box 447
11 East 4TH Street
Lemmon, SD 57638-0447
Phone (605) 374-3862

Other names 1

  • Pat Poitra Other name

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
LPC 1167SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Mental Health and Chemical Dependency Center Mental Health PastSince Dec 11, 2023 Accepting new patients
Deutscher Clinics, P. C. PastSince Feb 1, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730216722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "address_2": "11 EAST 4TH STREET",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576380447",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAST 4TH ST",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "57645",
            "telephone_number": "605-823-4212",
            "fax_number": "605-823-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITRA",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LPC, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC 1167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "POITRA",
            "credential": "LPC, QMHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lemmon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.