Individual provider Active NPI

Krista K Groeneweg, LPC RPT

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1801576400
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC20551 Issued in SD
Practice address
3130 W 57TH St Ste 100a
Sioux Falls, SD 57108-3123
Phone
(605) 261-0375
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 LPC20551 SD Primary

Addresses

Primary practice location

3130 W 57TH St Ste 100a
Sioux Falls, SD 57108-3123

Mailing address

1329 W Stonegate Dr
Sioux Falls, SD 57108-3334
Phone (605) 261-0375

Other practice location 1

1329 W Stonegate Dr
Sioux Falls, SD 57108-3334
Phone (605) 261-0375

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
LPC20551SDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1801576400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W STONEGATE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083334",
            "telephone_number": "605-261-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W 57TH ST STE 100A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083123",
            "telephone_number": "605-261-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 W Stonegate Dr",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571083334",
            "country_code": "US",
            "telephone_number": "605-261-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROENEWEG",
        "first_name": "KRISTA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPC RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20551",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 2023; 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.