Individual provider Active NPI

Whitney Wanderscheid, LPC-MH30643

  • Mental Health Counselor
  • Sergeant Bluff, IA
National Provider Identifier
1942778733
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30643 Issued in SD
Practice address
211 5TH St
Sergeant Bluff, IA 51054-8510
Phone
(712) 253-7174
NPI assigned
Nov 9, 2018
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30643 SD Primary

Addresses

Primary practice location

211 5TH St
Sergeant Bluff, IA 51054-8510

Mailing address

PO Box 135
Sergeant Bluff, IA 51054-0135
Phone (712) 253-7174

Other practice location 1

5032 S Bur Oak Pl Ste 217
Sioux Falls, SD 57108-2244
Phone (605) 206-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30643SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burroughs Counseling and Consultation, LLC Mental Health CurrentSince Aug 25, 2018 Accepting new patients

Locations

5032 S Bur Oak Pl
Ste 217
Sioux Falls, SD 57108
Phone (605) 206-7474

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, 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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1942778733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510540135",
            "telephone_number": "712-253-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 5TH ST",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548510",
            "telephone_number": "712-253-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5032 S Bur Oak Pl Ste 217",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571082244",
            "country_code": "US",
            "telephone_number": "605-206-7474",
            "fax_number": "605-271-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANDERSCHEID",
        "first_name": "WHITNEY",
        "credential": "LPC-MH30643",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "30643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.