Life Strategies Psychological Health Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

444 Issued in SD

Legal business name

LIFE STRATEGIES PSYCHOLOGICAL HEALTH SERVICES, INC

Practice address

1601 E 69TH St Ste 305
Sioux Falls, SD 57108

Phone

(605) 368-4323

NPI assigned

Jun 29, 2006

Last updated

Aug 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ericka Kemper, PSY.D.NPI 1477588416

Title

President/Ceo

Phone

(605) 360-6264

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ericka Kathleen Kemper, PSY.D.

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1477588416
  Medicare reassignment NPD Authorized official
• Stacy D White, CSW-PIP

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1457750317
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1821026998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-368-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-368-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 S Lyncrest Ave.",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571082515",
            "country_code": "US",
            "telephone_number": "605-274-1119",
            "fax_number": "605-271-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE STRATEGIES PSYCHOLOGICAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-360-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9237669",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4993937",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "33858",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552023",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Sioux Falls, SD by specialty
• Clinical Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.