MATTHEW EVERT WOLTHUIZEN (NPI# 1770764532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764532 |
| Entity Type | Individual |
| Full Name | MATTHEW EVERT WOLTHUIZEN |
| Credential | M.A., LPC, NCC, QMHP |
| Practice Address |
5024 S Bur Oak Pl Ste 214 Sioux Falls SD 57108-2238 |
| Practice Telephone | 6053618876 |
| Practice Fax Number | 6052710104 |
| Mailing Telephone | 6053618876 |
| Mailing Fax Number | 6052710104 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-MH2203 | SD | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC1191 | SD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 S Summit Ave, Sioux Falls, SD 571052727 | 1605336051 | 1605336377 |
| Street Address |
5024 S BUR OAK PL STE 214 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1962867788 | Scott Moeller, Inc | Counselor | 2505 S Kiwanis Ave Apt 247, Sioux Falls, SD 57105-0146 | 2015-12-21 |
| 1174995112 | Lori Evenson | Counselor | 6320 S Western Ave Ste 150, Sioux Falls, SD 57108-3408 | 2015-10-29 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| 1104207018 | Mary Weber | Counselor | 1500 S Sycamore Ave, Suite 102, Sioux Falls, SD 57110-3708 | 2015-06-16 |
| 1801233069 | James Cady | Counselor | 5024 S Bur Oak Pl, 210, Sioux Falls, SD 57108-2236 | 2013-05-29 |
| 1942528856 | Brian Lloyd Riedel | Counselor | 6901 Lyncrest Pl, #106, Sioux Falls, SD 57108 | 2010-05-17 |
| 1407178668 | Erica Anne Gloor | Counselor | 1310 W. 51st St., Sioux Falls, SD 57105 | 2010-02-15 |
| 1699002824 | Eileen Dala Friest | Counselor | 615 S. Main Avenue, Sioux Falls, SD 57104-4905 | 2009-11-09 |
| 1538304324 | Amy Marie Roth | Counselor | 1500 S Sycamore Ave Ste 200, Sioux Falls, SD 57110-3711 | 2008-12-08 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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| 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.