MS. CONNIE LEE NELSON (NPI# 1629061221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061221 |
| Entity Type | Individual |
| Full Name | MS. CONNIE LEE NELSON |
| Credential | MA QMHP LPCMH CCDC |
| Practice Address |
2210 S Brown Place Sioux Falls SD 57105 |
| Mailing Address |
2210 S Brown Pl Sioux Falls SD 57105-6582 |
| Practice Telephone | 6053321700 |
| Practice Fax Number | 6053369031 |
| Mailing Telephone | 6053321700 |
| Mailing Fax Number | 6053369031 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2012-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 45265 | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ICADC2245 | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9605696 | SD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPCMH2116 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6576132 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829845 | Connie Rachelle Nelson | Registered Nurse | 8101 O St Ste 300, Lincoln, NE 68510-2647 | 2020-01-06 |
| 1740557701 | Connie M Nelson | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-11-18 |
| 1427261080 | Connie Alvin Nelson | Physical Therapist | 2101 Greentree Rd, Suite A116, Pittsburgh, PA 15220-1400 | 2007-05-08 |
| 1144359621 | Connie G Nelson | Social Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2007-03-02 |
| 1619043999 | Connie L Nelson | Counselor | 2611 12th St S, Wisconsin Rapids, WI 54494 | 2006-11-28 |
| 1134205131 | Connie Nelson | Occupational Therapist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-10-31 |
| 1427131770 | Connie Nelson | Social Worker | 222 N Kalamazoo Mall Ste 100, Kalamazoo, MI 49007 | 2006-10-23 |
| 1679560304 | Connie Michelle Nelson | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2005-09-27 |
| Street Address |
2210 S BROWN PLACE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 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 |
| 1154944759 | Jenna Lynn Kvaale | Counselor | 800 E Tomar Rd, Sioux Falls, SD 57105-7007 | 2020-05-19 |
| 1700410768 | Katelyn Tilstra | Counselor | 6209 E Silver Maple Cir Ste 102, Sioux Falls, SD 57110-7807 | 2020-02-28 |
| 1336772599 | Joseph Collin Welch | Counselor | 309 W 43rd St Ste 101, Sioux Falls, SD 57105-6805 | 2020-02-17 |
| 1336771252 | Emily Gislason LLC | Counselor | 3101 W 41st St Ste 201b, Sioux Falls, SD 57105-8144 | 2020-02-08 |
| 1467082446 | Barbra Lea Devos | Counselor | 408 W Lotta St, Sioux Falls, SD 57105-6809 | 2020-01-19 |
| 1245884238 | Hope Elizabeth Johnson | Counselor | 3220 W 57th St Ste 100a, Sioux Falls, SD 57108-3146 | 2019-07-29 |
| 1114580842 | Alexis Meyer | Counselor | 330 N Main Ave Ste 301c, Sioux Falls, SD 57104-6034 | 2019-04-18 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on MS. CONNIE LEE NELSON.
| 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.