JACKIE FOSTER (NPI# 1962016113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962016113 |
| Entity Type | Individual |
| Full Name | JACKIE FOSTER |
| Credential | LPC |
| Practice Address |
705 E 41st St Ste 200 Sioux Falls SD 57105-6048 |
| Practice Telephone | 6054447643 |
| Practice Fax Number | 6054447690 |
| Mailing Telephone | 6054447643 |
| Mailing Fax Number | 6054447690 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 20668 | SD | Behavioral Health & Social Service Providers |
| Street Address |
705 E 41ST ST STE 200 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891076253 | Karen S Chesley | Social Worker | 705 E 41st St Ste 200, Sioux Falls, SD 57105-6048 | 2011-08-30 |
| 1275186520 | Kayler Ridl | Counselor | 705 E 41st St Ste 200, Sioux Falls, SD 57105-6048 | 2019-07-16 |
| 1942852744 | Michelle Seten | Social Worker | 705 E 41st St Ste 200, Sioux Falls, SD 57105-6048 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 | 57105 |
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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.