Individual provider Active NPI

Becky R Schuldt, MS, LPC-MH

  • Mental Health Counselor
  • Aberdeen, SD
National Provider Identifier
1821363474
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH30527 Issued in SD
Practice address
634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Phone
(605) 846-7038
Fax
(605) 401-4087
NPI assigned
Mar 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC-MH30527 SD Primary

Addresses

Primary practice location

634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593

Mailing address

634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Phone (605) 846-7038

Other identifiers 1

IdentifierTypeStateIssuer
3008056MedicaidSD

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
I20240205002442 SD Practitioner - Mental Health Counselor 1850734054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

634 S Roosevelt St
Suite 4
Aberdeen, SD 57401-6593
Phone (605) 846-7038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Roots Counseling Services LLC Counselor CurrentSince Dec 12, 2023 Accepting new patients

Locations

221 6th Ave SE
Ste 2
Aberdeen, SD 57401
Phone (605) 846-7038

634 S Roosevelt St
Ste 4
Aberdeen, SD 57401
Phone (605) 622-0665

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1821363474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S ROOSEVELT ST STE 4",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016593",
            "telephone_number": "605-846-7038",
            "fax_number": "605-401-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S ROOSEVELT ST STE 4",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016593",
            "telephone_number": "605-846-7038",
            "fax_number": "605-401-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULDT",
        "first_name": "BECKY",
        "middle_name": "R",
        "credential": "MS, LPC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008056",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.