Michele Marie Johnson, LPC-MH30656

Individual provider Active NPI Mental Health Counselor · Dell Rapids, SD

NPI 1942015599 · NPPES record last updated Feb 11, 2025

Key facts

NPI
1942015599
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
30656 (SD)
Practice address
1104 N Palomino Ave
Dell Rapids, SD 57022-1120
Phone
(605) 789-1405
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 E 7TH St
Dell Rapids, SD 57022-1703
Phone (605) 963-2660

89361 -553 Ave
Crofton, NE 68730-3003

PO Box
Suite 72
Dell Rapids, SD 57022-0072

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260331003295 SD Practitioner - Mental Health Counselor 2668957390 Practice locations: Dell Rapids, SD

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
30656SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Oaks Counseling, LLC Mental Health Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30656 SD Yes

Addresses

Primary practice location

1104 N Palomino Ave
Dell Rapids, SD 57022-1120

Mailing address

1104 N Palomino Ave
Dell Rapids, SD 57022-1120
Phone (605) 789-1405

Other providers in Dell Rapids, SD

All providers in Dell Rapids, SD · Mental Health Counselor in South Dakota

Sources for this page

Verify at the official NPI Registry.