Individual provider Active NPI

Danae Lynn Mutchelknaus

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1962991232
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC20338 Issued in SD
Practice address
57107
Sioux Falls, SD 57107
Phone
(605) 605-6056
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17031751 SD
Mental Health Counselor 101YM0800X LPC20338 SD Primary

Addresses

Primary practice location

57107
Sioux Falls, SD 57107

Mailing address

440 N Wolfe Rd
Sunnyvale, CA 94085-3869

Other names 1

  • Danae Lynn Vanroekel Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17031751SDMDAddiction (Substance Use Disorder) Counselor
LPC20338SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC Mental Health CurrentSince May 14, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Rising Hope Together, Inc Mental Health PastSince Jan 24, 2021 Accepting new patients

Locations

304 W SD Highway 38
Ste 126
Hartford, SD 57033

317 N Heritage Ave
Tea, SD 57064

Interoperability endpoints

  • Direct secure messaging: danaemutchelknaus@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1962991232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N WOLFE RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57107",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57107",
            "telephone_number": "605-605-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCHELKNAUS",
        "first_name": "DANAE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "17031751",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANAE",
            "last_name": "VANROEKEL",
            "middle_name": "LYNN",
            "credential": "MS, NCC, LAC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.