Active NPI
Harlene Neave Pesicka
- Counselor
- Aberdeen, SD
National Provider Identifier
1972686491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCMH 2070
- Practice address
- 202 South Main Street
Suite 228
Aberdeen, SD 57401-4114 - Phone
- (605) 229-1500
- Fax
- (605) 229-4357
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCMH 2070 | SD | Primary |
Addresses
Primary practice location
202 South Main Street
Suite 228
Aberdeen, SD 57401-4114
Mailing address
202 South Main Street
Suite 228
Aberdeen, SD 57401-4114
Phone (605) 229-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6575950 | Medicaid | SD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCMH 2070 | SD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of South Dakota Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/lsssd/r4/
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.
-
- Voluntary or Charitable Agency
- Sioux Falls, SD
- NPI 1194885723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972686491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SOUTH MAIN STREET",
"address_2": "SUITE 228",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014114",
"telephone_number": "605-229-1500",
"fax_number": "605-229-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SOUTH MAIN STREET",
"address_2": "SUITE 228",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014114",
"telephone_number": "605-229-1500",
"fax_number": "605-229-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESICKA",
"first_name": "HARLENE",
"middle_name": "NEAVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SD",
"license": "LPCMH 2070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6575950",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.