MRS. TERESA M HENRICKSON (NPI# 1518029917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518029917 |
| Entity Type | Individual |
| Full Name | MRS. TERESA M HENRICKSON |
| Credential | LPC MH |
| Practice Address |
904 W 23rd St Ste 101 Heartland Psychological Services Yankton SD 57078 |
| Practice Telephone | 6056650841 |
| Practice Fax Number | 6056650096 |
| Mailing Telephone | 6056650841 |
| Mailing Fax Number | 6056650096 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPCMH2127 | Behavioral Health & Social Service Providers | |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
09607791 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMPSYCH | 235666 | 01 | |
| SIOUX VALLEY HEALTH PLAN | 20630 | 01 | |
| MIDLANDS CHOICE | 246780 | 01 | |
| SD | 6576050 | 05 | |
| DAKOTA CARE | 9235337 | 01 | |
| BLUE CROSS | 4994223 | 01 |
| Street Address |
904 W 23RD ST STE 101 HEARTLAND PSYCHOLOGICAL SERVICES |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868938 | Courtney Ballard | Counselor | 904 W 23rd St Ste 101, Yankton, SD 57078-1206 | 2020-10-16 |
| 1942853429 | Heather Yvonne Salis | Social Worker | 904 W 23rd St Ste 101, Yankton, SD 57078-1206 | 2019-07-23 |
| 1609353010 | Jaclyn Schaap | Social Worker | 904 W 23rd St Ste 101, Yankton, SD 57078-1206 | 2018-07-27 |
| 1518303783 | Sherry E Gaskins | Social Worker | 904 W 23rd St Ste 101, Yankton, SD 57078-1206 | 2013-05-15 |
| 1275879074 | Charles P Voegeli | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078-1206 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| 1528155926 | Gary Allen Merkwan | Chiropractor | 2708 East South Dakota Highway 50, Yankton, SD 57078 | 2006-10-06 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949442 | Cristina Elisa Matos | Counselor | 610 W 23rd St Ste 10, Yankton, SD 57078-1209 | 2017-08-28 |
| 1265844534 | Tracie Erdmann | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2014-05-21 |
| 1942371554 | Rebecca S Frank | Counselor | 708 E 19th St, Yankton, SD 57078-1802 | 2006-11-13 |
| 1548868938 | Courtney Ballard | Counselor | 904 W 23rd St Ste 101, Yankton, SD 57078-1206 | 2020-10-16 |
| 1114559481 | Alison Boughn | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2020-02-05 |
| 1538728266 | Adam Joel Hardy | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2019-06-06 |
| 1144720210 | Loralee Ann Lapointe | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2018-02-15 |
| 1114475076 | Jaclyne Benjamin | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2016-09-20 |
| 1720536683 | Kaija Wagner | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2016-09-20 |
| 1225586175 | Jessica Polk | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2016-09-20 |
| Find all providers in YANKTON | ||||
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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.