Individual provider Active NPI

Tara Marie Reinesch

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1811503311
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH20355 Issued in SD
Practice address
1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone
(605) 361-0114
NPI assigned
Sep 20, 2020
Last updated
Sep 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SD
Mental Health Counselor 101YM0800X LPC-MH20355 SD Primary

Addresses

Primary practice location

1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711

Mailing address

2321 S Katie Ave
Sioux Falls, SD 57106-4798
Phone (605) 216-3705

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
LPC-MH20355SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Grace Therapy Services LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1500 S Sycamore Ave
Ste 102
Sioux Falls, SD 57110
Phone (605) 202-2420

3220 W 57th St
Ste 111
Sioux Falls, SD 57108
Phone (605) 250-1226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1811503311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 S KATIE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064798",
            "telephone_number": "605-216-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103711",
            "telephone_number": "605-361-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINESCH",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH20355",
            "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 Sep 20, 2020; 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.