Organization Active NPI

Credo Counseling

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1740024934
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREDO COUNSELING
Practice address
4828 E 57TH St # 3
Sioux Falls, SD 57108-8643
Phone
(605) 906-2520
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Carleen BryantNPI 1750516647
Title
Owner
Phone
(970) 986-8668

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4828 E 57TH St # 3
Sioux Falls, SD 57108-8643

Mailing address

4828 E 57TH St # 3
Sioux Falls, SD 57108-8643
Phone (605) 906-2520

Other identifiers 1

IdentifierTypeStateIssuer
9000179592MedicaidCO

National Provider Directory

National Provider Directory

Locations

4828 E 57th St
#3
Sioux Falls, SD 57108
Phone (605) 906-2520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1740024934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 E 57TH ST # 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088643",
            "telephone_number": "605-906-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 E 57TH ST # 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088643",
            "telephone_number": "605-906-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-986-8668"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000179592",
            "state": "CO"
        }
    ],
    "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 Aug 23, 2024; 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.