Sinte Gleska University

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SINTE GLESKA UNIVERSITY

Doing business as

Tiwahe Glu Kini Pi

Practice address

Antelope Lake Drive
Mission, SD 57555

Phone

(605) 856-8291

Fax

(605) 856-2132

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SINTE GLESKA UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Nikita R Black Bear, BA-HUMAN SERVICES

Title

Billing Clerk

Phone

(605) 856-8291

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiwahe Glu Kini Pi Doing business as

Part of

Sinte Gleska University

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1891352134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "address_2": "ANTELOPE LAKE CAMPUS",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-8291",
            "fax_number": "605-856-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTELOPE LAKE DRIVE",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-8291",
            "fax_number": "605-856-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINTE GLESKA UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINTE GLESKA UNIVERSITY",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "BLACK BEAR",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "605-856-8291",
        "authorized_official_credential": "BA-HUMAN SERVICES"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MENTAL HEALTH PROGRAM",
            "identifier": "46-0312209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiwahe Glu Kini Pi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Mission, SD
• Providers in Mission, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.