Active NPI
Andrea Uckert, LPC-MH, QMHP
- Mental Health Counselor
- Brookings, SD
National Provider Identifier
1992073951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20334
- Practice address
- 619 5TH Ave Ste 3
Brookings, SD 57006 - Phone
- (605) 592-5300
- Fax
- (605) 696-7977
- NPI assigned
- Dec 6, 2011
- Last updated
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20334 | SD | Primary |
Addresses
Primary practice location
619 5TH Ave Ste 3
Brookings, SD 57006
Mailing address
619 5TH Ave Ste 3
Brookings, SD 57006-1454
Phone (605) 592-5300
Other practice location 1
357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20334 | SD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea L. Uckert, LLC | Past | Accepting new patients | |
| Community Counseling Service | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Brookings, SD
- NPI 1669963609
-
- Mental Health Counselor
- Huron, SD
- NPI 1932167277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1992073951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 5TH AVE STE 3",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570061454",
"telephone_number": "605-592-5300",
"fax_number": "605-696-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 5TH AVE STE 3",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "57006",
"telephone_number": "605-592-5300",
"fax_number": "605-696-7977"
}
],
"practiceLocations": [
{
"address_1": "357 Kansas Ave SE",
"address_purpose": "LOCATION",
"city": "Huron",
"state": "SD",
"postal_code": "573502517",
"country_code": "US",
"telephone_number": "605-352-8596",
"fax_number": "605-352-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UCKERT",
"first_name": "ANDREA",
"credential": "LPC-MH, QMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "20334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.