Austin D Halfpop

Individual provider Active NPI Professional Counselor · Aberdeen, SD

NPI 1962029363 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1962029363
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC20636 (SD)
Practice address
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone
(605) 225-1010
Fax
(605) 722-4055
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1914 Skerrols St
Fort Pierre, SD 57532-2390

420 S Henry St
Pierre, SD 57501-4515

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
I20260527003169 SD Practitioner - Mental Health Counselor 7719457142 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC20636SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Mental Health Center Counselor Current
since Jul 5, 2020
Accepting new patients

Locations

14 S Main St
Ste 1E
Aberdeen, SD 57401
Phone (605) 225-1010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X LPC20636 SD Yes

Addresses

Primary practice location

14 S Main St Ste 1E
Aberdeen, SD 57401-4189

Mailing address

14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone (605) 225-1010

Other providers in Aberdeen, SD

All providers in Aberdeen, SD · Professional Counselor in South Dakota

Sources for this page

Verify at the official NPI Registry.