Eggleston, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC537 Issued in SD

Legal business name

EGGLESTON, INC

Practice address

1601 E 69TH St Ste 101
Sioux Falls, SD 57108-8322

Phone

(605) 610-6355

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mary J Eggleston, M.S.ED.NPI 1437142288

Title

President

Phone

(605) 610-6355

Specialties & licenses 2

Addresses

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.

• Mary J Eggleston, MS ED

  • Addiction (Substance Use Disorder) Counselor
  • Sioux Falls, SD
  • NPI 1437142288
  Medicare reassignment NPD Authorized official
• Shelley Lynn Sandbulte, EDD

  • Psychologist
  • Sioux Falls, SD
  • NPI 1871587253
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1891918033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-610-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-610-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGLESTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-610-6355",
        "authorized_official_credential": "M.S.ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC537",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Eeg, M.D.
• Efrain Nutriologo LLC
• Maria Egan, MS, LPC-MH, QMHP
• Matthew D Eggers, MD
• Taylor Eggers, DPT
• Mary J Eggleston, MS ED
• Erik Ehli, PHD
• Erika Ann Eich, PA
• Marissa Eich, CNP
• Sarah Lynn Eich, PHARMD

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.