LACEY A. LEICHTNAM (NPI# 1093325706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093325706 |
| Entity Type | Individual |
| Full Name | LACEY A. LEICHTNAM |
| Credential | M.A., LPC, ACT, QMHP |
| Practice Address |
4300 S Louise Ave Ste 201 Sioux Falls SD 57106-3124 |
| Practice Telephone | 6053347713 |
| Mailing Telephone | 6053347713 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
20388 | SD | Behavioral Health & Social Service Providers |
| Street Address |
4300 S LOUISE AVE STE 201 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1780293159 | Kristine M Dejaeghere-tillett | Counselor | 2528 S Center Ave, Sioux Falls, SD 57105-4814 | 2020-07-30 |
| 1154944759 | Jenna Lynn Kvaale | Counselor | 800 E Tomar Rd, Sioux Falls, SD 57105-7007 | 2020-05-19 |
| 1700410768 | Katelyn Tilstra | Counselor | 6209 E Silver Maple Cir Ste 102, Sioux Falls, SD 57110-7807 | 2020-02-28 |
| 1336772599 | Joseph Collin Welch | Counselor | 309 W 43rd St Ste 101, Sioux Falls, SD 57105-6805 | 2020-02-17 |
| 1336771252 | Emily Gislason LLC | Counselor | 3101 W 41st St Ste 201b, Sioux Falls, SD 57105-8144 | 2020-02-08 |
| 1467082446 | Barbra Lea Devos | Counselor | 408 W Lotta St, Sioux Falls, SD 57105-6809 | 2020-01-19 |
| 1245884238 | Hope Elizabeth Johnson | Counselor | 3220 W 57th St Ste 100a, Sioux Falls, SD 57108-3146 | 2019-07-29 |
| 1114580842 | Alexis Meyer | Counselor | 330 N Main Ave Ste 301c, Sioux Falls, SD 57104-6034 | 2019-04-18 |
| 1043778046 | Thrive Counseling and Evaluation | Counselor | 3701 W 49th St Ste 206, Sioux Falls, SD 57106-4219 | 2019-03-08 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
Please comment or provide details below to improve the information on LACEY A. LEICHTNAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.