Matthew E Wolthuizen, MA, LPCMH, NCC, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2203 Issued in SD

Practice address

3805 S Kiwanis Cir Ste 101
Sioux Falls, SD 57105-4266

Phone

(605) 663-4600

Fax

(605) 663-4663

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Matthew Wolthuizen Counseling, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1346064904
  Medicare reassignment NPD Authorized official
• Adam Wolthuizen Counseling, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1417521543
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1770764532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-663-4600",
            "fax_number": "605-663-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTHUIZEN",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MA, LPCMH, NCC, QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC-MH2203",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam N Wollman, CRNA
• Jenifer M. Wollman, PHARMD, CSP
• Faith Wollmann, BCBA
• Trevor Mark Wolterstorff
• Adam John Wolthuizen, MS, LPC-MH, NCC,QMHP
• Carol Woltzen, MA CCC-SLP
• Wonderful-Home
• Gisella Sarita Wong Nano, M.D.
• Christopher D Wong, MD
• Laura L Wong, OTR/L

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.