MIDWEST WELLNESS INSTITUTE, PLLC (NPI# 1851729552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851729552 |
| Entity Type | Organization |
| Organization Name | MIDWEST WELLNESS INSTITUTE, PLLC |
| Other Organization Name | MIDWEST WELLNESS INSTITUTE LLC |
| Practice Address |
809 W Pipestone Ave Ste 8 Flandreau SD 57028 |
| Practice Telephone | 5073370556 |
| Practice Fax Number | 5073370567 |
| Mailing Telephone | 5073370556 |
| Mailing Fax Number | 5073370567 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | MR. KYLE KORVER (CEO, MIDWEST WELLNESS INSTITUTE) |
| Authorized Official Telephone | 5073370556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
7035 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midwest Wellness Institute LLC | Former Legal Business Name - Organization |
| Street Address |
809 W PIPESTONE AVE STE 8 |
| City | FLANDREAU |
| State | SD |
| Zip Code | 57028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629018445 | Clay Joseph Pavlis | Psychiatry & Neurology | 809 W Pipestone Ave Ste 8, Flandreau, SD 57028 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689865081 | John Roy Sivesind | Psychologist | 107 W Broad Ave, Flandreau, SD 57028 | 2007-08-09 |
| 1649200189 | James Shaeffer | Family Medicine | 701 West Broad Ave, Flandreau, SD 57028 | 2006-07-03 |
| 1437188729 | Flandreau Santee Sioux Tribe | Clinic/Center | 403 W Broad Ave, Flandreau, SD 57028 | 2006-07-01 |
| 1407993165 | Flandreau School District #50-3 | Local Education Agency (LEA) | 600 W Community Dr, Flandreau, SD 57028-1060 | 2007-01-31 |
| 1447807466 | Kali Marie Ahlers | Psychologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-23 |
| 1487200291 | Suzannah Eileen Cleveland | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-16 |
| 1043785496 | Adriane Voisin | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-10-11 |
| 1922598770 | Katherine E Krystosek | Specialist/Technologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-05-17 |
| 1124000286 | Dr. Steven L. Headrick, P.C. | Chiropractor | 109 E 2nd Ave, Flandreau, SD 57028-1222 | 2005-11-15 |
| 1407844392 | Jay-med Inc. | Durable Medical Equipment & Medical Supplies | 127 E 2nd Ave, Flandreau, SD 57028-1222 | 2005-10-13 |
| Find all providers in zip 57028 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1396373981 | Horse Sense Counseling LLC | Clinic/Center | 2040 W Main St Ste 305, Rapid City, SD 57702-2447 | 2020-03-30 |
| 1467088088 | Family Connections Counseling LLC | Clinic/Center | 2040 W Main St Ste 306, Rapid City, SD 57702-2447 | 2020-03-15 |
| 1912541921 | Enso Mental Health, LLC | Clinic/Center | 211 N Main St Ste 104, Spearfish, SD 57783-2646 | 2019-11-01 |
| 1538696992 | Bach Counseling Services, LLC | Clinic/Center | 1575 N Lacrosse St Ste H, Rapid City, SD 57701-6969 | 2017-05-16 |
| 1467872101 | Mary T. Guth | Clinic/Center | 1605 E 63rd St, Sioux Falls, SD 57108-4759 | 2014-04-21 |
| 1013283670 | Mark W. Perrenoud Ph.d. Inc. | Clinic/Center | 1818 West Fulton, Suite 201, Rapid City, SD 57702-4347 | 2012-03-28 |
| 1174890164 | Psychiatric Services, LLC | Clinic/Center | 506 Lovely Ave, Baltic, SD 57003-0328 | 2011-11-19 |
| 1790386050 | The Coping Center | Clinic/Center | 21 Market St, Vermillion, SD 57069-3037 | 2020-11-03 |
| 1578181947 | Schramm Counseling Services | Clinic/Center | 4948 E 57th St, Sioux Falls, SD 57108-8705 | 2020-07-11 |
| 1902422116 | Grace Counseling, LLC | Clinic/Center | 1320 North Ave, Spearfish, SD 57783-1525 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.