Individual provider Active NPI

Jerold P Feist, LPCMH

  • Counselor
  • Aberdeen, SD
National Provider Identifier
1912072158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCMH 2028 Issued in SD
Practice address
202 South Main Street
Suite 228
Aberdeen, SD 57401-4114
Phone
(605) 229-1500
Fax
(605) 229-4357
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCMH 2028 SD Primary

Addresses

Primary practice location

202 South Main Street
Suite 228
Aberdeen, SD 57401-4114

Mailing address

202 South Main Street
Suite 228
Aberdeen, SD 57401-4114
Phone (605) 229-1500

Other identifiers 1

IdentifierTypeStateIssuer
6575400MedicaidSD

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
I20240625001006 SD Practitioner - Mental Health Counselor 6002359536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Footsteps Counseling LLCGroup PAC ID 1658724364, 2 clinicians

Practice addresses (Care Compare)

121 4TH Ave SW
Suite 1
Aberdeen, SD 57401-4133
Phone (605) 725-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH 2028SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Footsteps Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients
Lutheran Social Services of South Dakota Inc Past Accepting new patients

Locations

121 4th Ave SW
Ste 1
Aberdeen, SD 57401
Phone (605) 725-2155

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

Organizations & group practices 2

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912072158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SOUTH MAIN STREET",
            "address_2": "SUITE 228",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014114",
            "telephone_number": "605-229-1500",
            "fax_number": "605-229-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SOUTH MAIN STREET",
            "address_2": "SUITE 228",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014114",
            "telephone_number": "605-229-1500",
            "fax_number": "605-229-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIST",
        "first_name": "JEROLD",
        "middle_name": "P",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPCMH 2028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575400",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.