Individual provider Active NPI

Luanna Lynn Olthoff, M.A.

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1760657308
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH2061 Issued in SD
Practice address
6809 S Minnesota Ave
Suite 103
Sioux Falls, SD 57108-2569
Phone
(605) 838-9655
Fax
(605) 271-2548
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X QMHP
Mental Health Counselor 101YM0800X LPCMH2061 SD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC9707970 SD

Addresses

Primary practice location

6809 S Minnesota Ave
Suite 103
Sioux Falls, SD 57108-2569

Mailing address

6809 S Minnesota Ave
Suite 103
Sioux Falls, SD 57108-2569
Phone (605) 838-9655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112004216 SD Practitioner - Mental Health Counselor 9638521727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6809 S Minnesota Ave
Suite 103
Sioux Falls, SD 57108-2570
Phone (605) 838-9655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAC9707970SDMDAddiction (Substance Use Disorder) Counselor
LPCMH2061SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling and Consulting, Inc CurrentSince Nov 17, 2023 Accepting new patients

Locations

6809 S Minnesota Ave
Ste 103
Sioux Falls, SD 57108
Phone (605) 809-8328

Organizations & group practices 1

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1760657308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 S MINNESOTA AVE",
            "address_2": "SUITE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082569",
            "telephone_number": "605-838-9655",
            "fax_number": "605-271-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 S MINNESOTA AVE",
            "address_2": "SUITE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082569",
            "telephone_number": "605-838-9655",
            "fax_number": "605-271-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTHOFF",
        "first_name": "LUANNA",
        "middle_name": "LYNN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "QMHP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2061",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "LAC9707970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.