Nikki Rae LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NIKKI RAE LLC

Practice address

3500 S Phillips Ave Ste 241
Sioux Falls, SD 57105-6863

Phone

(605) 403-4167

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Nikki Roth, LPC-MH,, LPCC, LAC,

Title

Clinical Therapist

Phone

(605) 403-4167

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Roth, LPC, LPCC, LPC-MH

  • Professional Counselor
  • Sioux Falls, SD
  • NPI 1073944849
  NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1740923721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 241",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056863",
            "telephone_number": "605-403-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S PHILLIPS AVE STE 241",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056863",
            "telephone_number": "605-403-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI RAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "605-403-4167",
        "authorized_official_credential": "LPC-MH,, LPCC, LAC,"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nierman, CSW
• Krystal Niesen, PA-C
• Alexandria Niessink, CRNA
• Robyn Niewenhuis, CSW-PIP
• Samuel E Niewenhuis, CNP, FNP
• Kendra Lea Niklason
• Alyse Nilsen, FNP
• Paulo Andres Nino Rojas, MD
• Matthew R Nipe, M.D.
• David Nissen

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.