Individual provider Active NPI

Ellen Oppold, MA, LPC-MH, QMHP

  • Mental Health Counselor
  • Tea, SD
National Provider Identifier
1942824073
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC20556 Issued in SD
Practice address
317 N Heritage Ave
Tea, SD 57064-2539
Phone
(605) 494-1500
NPI assigned
Jun 4, 2020
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH30624 SD
Mental Health Counselor 101YM0800X LPC20556 SD Primary

Addresses

Primary practice location

317 N Heritage Ave
Tea, SD 57064-2539

Mailing address

317 N Heritage Ave
Tea, SD 57064-2539
Phone (605) 494-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: No
  • 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
I20240216000537 SD Practitioner - Mental Health Counselor 6204270374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-MH30624SDMDMental Health Counselor
LPC20556SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC Mental Health CurrentSince Jan 4, 2024 Accepting new patients
Rising Hope Together, Inc Mental Health PastSince Jan 24, 2021 Accepting new patients
Southeastern Behavioral Healthcare PastSince Jun 1, 2020 Accepting new patients
Southeastern Behavioral Healthcare PastSince Jun 1, 2020 Accepting new patients

Locations

317 N Heritage Ave
Tea, SD 57064

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1942824073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N HERITAGE AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642539",
            "telephone_number": "605-494-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N HERITAGE AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642539",
            "telephone_number": "605-494-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPOLD",
        "first_name": "ELLEN",
        "credential": "MA, LPC-MH, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30624",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.