BONNIE JEAN HAACK (NPI# 1568934990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568934990 |
| Entity Type | Individual |
| Full Name | BONNIE JEAN HAACK |
| Credential | LPC-MH |
| Practice Address |
125 W 1st St Tea SD 57064-3300 |
| Mailing Address |
Po Box 533 Tea SD 57064-0533 |
| Practice Telephone | 6057771898 |
| Practice Fax Number | 6057771899 |
| Mailing Telephone | 6057771898 |
| Mailing Fax Number | 6057771899 |
| Enumeration Date | 2018-12-25 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPCMH20228 | SD | Behavioral Health & Social Service Providers |
| Street Address |
125 W 1ST ST |
| City | TEA |
| State | SD |
| Zip Code | 57064-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752047 | Truth & Grace Counseling | Counselor | 125 W 1st St, Tea, SD 57064-3300 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169797 | Adam Fjeldheim | Dentist | 605 E. Brian St., Tea, SD 57064 | 2020-06-22 |
| 1275946188 | Perspective Health Chiropractic & Wellness | Chiropractor | 910 N. Main Ave., Suite 105, Tea, SD 57064 | 2014-06-09 |
| 1508078684 | Nicholas J. Shawd D.d.s., P.C. | Dentist | 725 E. Kevin Dr., Ste. 101, Tea, SD 57064 | 2007-05-03 |
| 1518083757 | Laura Marie Koele | Chiropractor | 710 E First Street, Tea, SD 57064 | 2007-03-21 |
| 1851328751 | Reilly Pharmacy LLC | Pharmacy | 720 E. First Street, Tea, SD 57064-0487 | 2006-06-27 |
| 1518355841 | Melissa Brandner Prof. LLC | Dentist | 910 N Main Ave, Suite 101, Tea, SD 57064-0580 | 2015-01-09 |
| 1962939231 | Theresa Michelle Newcomb | Nurse Practitioner | Po Box 802, Tea, SD 57064-0802 | 2017-05-17 |
| 1710131107 | Jodi M Schnider | Speech-Language Pathologist | 200 W Charish St, Tea, SD 57064-2055 | 2008-11-11 |
| 1881772168 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 725 E Kevin Dr Ste 100, Tea, SD 57064-2070 | 2006-11-02 |
| 1356358030 | Nicholas Jon Shawd | Dentist | 725 E Kevin Dr, Suite 101, Tea, SD 57064-2070 | 2006-08-02 |
| Find all providers in zip 57064 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752047 | Truth & Grace Counseling | Counselor | 125 W 1st St, Tea, SD 57064-3300 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382002 | Empowerment Counseling, LLC | Counselor | 912 S Lawson St Apt 2, Aberdeen, SD 57401-6420 | 2020-09-29 |
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1982219390 | Deborah Ann Dobbins | Counselor | 321 Kansas City St Ste 120, Rapid City, SD 57701-3086 | 2020-09-11 |
| 1700498805 | Tracy Bailey | Counselor | 318 W 11th Ave, Mitchell, SD 57301-1310 | 2020-08-19 |
| 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 |
| 1053938456 | Sarah E Swantner | Counselor | 1010 9th St Ste 13, Rapid City, SD 57701-3782 | 2020-07-01 |
| 1154944759 | Jenna Lynn Kvaale | Counselor | 800 E Tomar Rd, Sioux Falls, SD 57105-7007 | 2020-05-19 |
| 1134755440 | Patricia A Jonas | Counselor | 801 Jenson Ave Se, Watertown, SD 57201-5227 | 2020-03-18 |
| 1700410768 | Katelyn Tilstra | Counselor | 6209 E Silver Maple Cir Ste 102, Sioux Falls, SD 57110-7807 | 2020-02-28 |
| 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.