AMANDA CARTER-BOOMSMA (NPI# 1992167951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992167951 |
| Entity Type | Organization |
| Organization Name | AMANDA CARTER-BOOMSMA |
| Practice Address |
100 S Maple Ste 204 Watertown SD 57201-3772 |
| Mailing Address |
412 Ash St Frankfort SD 57440-2112 |
| Practice Telephone | 6054505490 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | AMANDA CARTER-BOOMSMA (MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 6054601112 |
| Authorized Official Credential | LPCMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPCMH2229 | SD | Behavioral Health & Social Service Providers |
| Street Address |
100 S MAPLE STE 204 |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| 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 |
|---|---|---|---|---|
| 1093137747 | Stacey Dawn Bohlmann | Counselor | 2337 10th Ave Sw, Watertown, SD 57201-7081 | 2014-01-15 |
| 1801188115 | Erin Cohen | Counselor | 14 Berkeley St, Apt. 1f, Watertown, MA 02472-2845 | 2011-05-04 |
| 1063407088 | Teresa Ann Madsen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2005-09-15 |
| 1306848247 | David E. Brown | Counselor | 126 N Rutland St, Apt 2, Watertown, NY 13601-2833 | 2005-08-11 |
| 1811505530 | Meghan Maureen O'neill | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-07-20 |
| 1215576913 | Ornella Lozier | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-12-27 |
| 1225675028 | Kelly Carvalho | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-30 |
| 1811532989 | Abubaker Alwahab | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-13 |
| 1871135087 | Cora Sorensen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-10-09 |
| 1851948186 | Jessica Gao | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-21 |
| Find all providers in WATERTOWN | ||||
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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.