Kathy Jean White, LAC OR NCAC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9807996 Issued in SD

Practice address

1238 Main St Ste 4
Sturgis, SD 57785-1540

Phone

(605) 720-8090

Fax

(605) 720-8090

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Black Hills Counseling LLC

  • Mental Health Counselor
  • Sturgis, SD
  • NPI 1205999315
  NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1982323705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 MAIN ST STE 4",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851540",
            "telephone_number": "605-720-8090",
            "fax_number": "605-720-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 MAIN ST STE 4",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851540",
            "telephone_number": "605-720-8090",
            "fax_number": "605-720-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHY",
        "middle_name": "JEAN",
        "credential": "LAC OR NCAC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "9807996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaden Valentine
• Vision Quest Counseling Center
• Sarah Wattier, DPT
• Heather A Weaver, PT
• Amanda Whelchel, LAC, MS
• Michelle Williamson, MS LPC
• Patrick Tyler Wilson, MD
• Kent Douglas Wright, M.D.
• Mark Timothy Zeigler, DC

• All providers in Sturgis, SD
• Addiction (Substance Use Disorder) Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.