MEDICARE: REID EDWARD GOEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	20965	SD

General Provider Information

NPI Number	:	1417806225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REID EDWARD GOEMAN

Provider Business Mailing Address
First Line	:	4301 W 57TH ST STE 100
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2255
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 W 57TH ST STE 100
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2255
Country	:	US
Telephone Number	:	507-822-3360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ REID EDWARD GOEMAN ” Practice Location

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