Theresa Plut, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC1121 Issued in SD

Practice address

211 4TH St
East Central MH CD Center Inc
Brookings, SD 57006

Phone

(605) 697-2850

Fax

(605) 697-2874

NPI assigned

Jan 22, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• East Central Mental Health & Chemical Dependency Center

  • Community/Behavioral Health Agency
  • Brookings, SD
  • NPI 1699820316
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922152412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "EAST CENTRAL MH CD CENTER INC",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-697-2850",
            "fax_number": "605-697-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "EAST CENTRAL MH CD CENTER INC",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-697-2850",
            "fax_number": "605-697-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUT",
        "first_name": "THERESA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200060",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacalyn Person, CSW-PIP
• Alyssa Dawn Peterson, PA-C
• Sara Ruth Peterson, DPT
• Brian L Piearson, OD
• Pietz-Coats Optometry Inc (The Optical Shop)
• Jackson Roland Pond, OD
• Madelyn Rae Ponto, CNP
• Prairie View Medical, Prof. LLC (Prairie View Medical Clinic)
• Pro PT, Inc.
• Caitlin Proechel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.