Amanda Carter-Boomsma

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCMH2229 Issued in SD

Legal business name

AMANDA CARTER-BOOMSMA

Practice address

100 S Maple Ste 204
Watertown, SD 57201-3772

Phone

(605) 450-5490

NPI assigned

Mar 28, 2016

Last updated

Mar 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Carter-Boomsma, LPCMHNPI 1689958209

Title

Mental Health Counselor

Phone

(605) 460-1112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Renee Carter-Boomsma, LPC

  • Counselor
  • Watertown, SD
  • NPI 1689958209
  NPD (past) Authorized official

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1992167951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ASH ST",
            "city": "FRANKFORT",
            "state": "SD",
            "postal_code": "574402112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAPLE STE 204",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013772",
            "telephone_number": "605-450-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA CARTER-BOOMSMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "CARTER-BOOMSMA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "605-460-1112",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPCMH2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Watertown, SD
• Providers in Watertown, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.