Individual provider Active NPI

Andrea Uckert, LPC-MH, QMHP

  • Mental Health Counselor
  • Brookings, SD
National Provider Identifier
1992073951
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20334 Issued in SD
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
20334SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea L. Uckert, LLC Past Accepting new patients
Community Counseling Service Mental Health PastSince Apr 2, 2004 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.

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

Verify at the official NPI Registry.