ANGIE KAYE ROTTER (NPI# 1558742569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558742569 |
Entity Type | Individual |
Full Name | ANGIE KAYE ROTTER |
Credential | LPC-MH |
Practice Address |
46560 264th St Sioux Falls SD 57107-6903 |
Mailing Address |
46560 264th St. Sioux Falls SD 57107 |
Practice Telephone | 6055283550 |
Practice Fax Number | 6055283559 |
Mailing Telephone | 6055283550 |
Mailing Fax Number | 6055283559 |
Enumeration Date | 2015-06-16 |
Last Update Date | 2016-08-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-MH2295 | SD | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
LPC7305 | SD | Behavioral Health & Social Service Providers |
Street Address |
46560 264TH ST |
City | SIOUX FALLS |
State | SD |
Zip Code | 57107-6903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245661602 | Sequel Youth Services of South Dakota, LLC | Psychiatric Residential Treatment Facility | 46560 264th St, Sioux Falls, SD 57107-6903 | 2013-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
1588819783 | Brookings Family Planning | Clinic/Center | 1440 N Campus Dr, Wellness Center, Brookings, SD 57107-0001 | 2008-12-02 |
1194797423 | Dawn M Peterson | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-02-02 |
1861894651 | Mary Wipf | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2014-09-23 |
1710249248 | Muna Ashraf | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2012-06-11 |
1457648149 | Avera Mckennan | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2011-07-01 |
1770719122 | Kirsten H Stotz | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2009-05-29 |
1447441647 | Demetre P Skliris | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2007-08-05 |
1063480390 | Shawn R Culey | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-03-11 |
1730624297 | Nicole Adams | Spec/Tech, Cardiovascular | 6308 W 10th St, Sioux Falls, SD 57107-0404 | 2016-12-19 |
Find all providers in zip 57107 |
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 |
1093325706 | Lacey A. Leichtnam | Counselor | 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106-3124 | 2020-08-06 |
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 |
Find all providers in SIOUX FALLS |
City | SIOUX FALLS |
Zip Code | 57107 |
Please comment or provide details below to improve the information on ANGIE KAYE ROTTER.
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.