Individual provider Active NPI

Richard Slattery

  • Marriage & Family Therapist
  • Yankton, SD
National Provider Identifier
1841940756
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11556 Issued in SD
Practice address
610 W 23Rd St Ste 8
Yankton, SD 57078-1219
Phone
(605) 334-7713
Fax
(605) 334-5348
NPI assigned
Mar 24, 2022
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11556 SD Primary

Addresses

Primary practice location

610 W 23Rd St Ste 8
Yankton, SD 57078-1219

Mailing address

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124
Phone (605) 334-7713

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
I20240411004008 SD Practitioner - Marriage and Family Therapist 2860831708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Baptist SeminaryGroup PAC ID 8628979721, 21 clinicians

Practice addresses (Care Compare)

610 W 23Rd St
Suite 8
Yankton, SD 57078-1219
Phone (605) 334-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11556SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary Counselor CurrentSince Mar 22, 2024 Accepting new patients
North American Baptist Seminary CurrentSince Mar 22, 2024 Accepting new patients
Lewis & Clark Behavioral Health Services, Inc. Counselor PastSince Mar 1, 2022 Accepting new patients
Lewis & Clark Mental Health Center PastSince Mar 1, 2022 Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

610 W 23rd St
Ste 8
Yankton, SD 57078
Phone (605) 334-7713

Organizations & group practices 4

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1841940756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 23RD ST STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781219",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "11556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.