Lewis & Clark Mental Health Center
Organization Active NPI Mental Health Counselor · Yankton, SD
NPI 1972862969 · NPPES record last updated May 10, 2012
Key facts
- NPI
- 1972862969
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- LEWIS & CLARK MENTAL HEALTH CENTER
- Practice address
- 1028 Walnut St
Yankton, SD 57078-2910 - Phone
- (605) 665-4606
- NPI assigned
- May 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Glen Mechtenberg
- Title
- Business Manager
- Phone
- (605) 665-4606
Corporate family (same tax ID) 1
Practitioners 179
-
Tami Ambroson, LPC, NCC
-
Linda Attebury, BS
-
Emily Becker, PH.D.
-
Fred Bender, LPC-MH, QMHP
-
Jaclyne Benjamin, BS
-
Sarah Braxton, CSW-PIP
-
Alan Brevik, MD
-
Lori Brunick, BA
-
Kaitlyn Conroy, LPC, QMHP, NCC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2198929 | Lewis & Clark Behavioral Health Services | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
- Tax ID family
- Cedar Vilage Assisted Living Center
Locations
1028 Walnut St
Yankton, SD 57078
Phone (605) 665-4606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
1028 Walnut St
Yankton, SD 57078-2910
Mailing address
1028 Walnut St
Yankton, SD 57078-2910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5200050 | Medicaid | SD |
Other names
- Lewis & Clark Behavioral Health Services
Other providers in Yankton, SD
- Madysen Lehr
- Morgan Marie Lentsch
- Julie Kay Lentz
- Lawrence M Leon
- Lewis & Clark Behavioral Health Services, Inc.
- Lewis & Clark Specialty Hospital LLC
- Lewis & Clark Specialty Hospital LLC
- Lewis & Clark Specialty Hospital LLC
- Lewis & Clark Urology, LTD.
- Lewis and Clark Anesthesia, Prof. LLC
All providers in Yankton, SD · Mental Health Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.