Healthcare Provider Details

I. General information

NPI: 1285153742
Provider Name (Legal Business Name): KELSI STRICHERZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2297 KANSAS AVE SE STE 5
HURON SD
57350-4287
US

IV. Provider business mailing address

357 KANSAS AVE SE
HURON SD
57350-2517
US

V. Phone/Fax

Practice location:
  • Phone: 605-212-7326
  • Fax:
Mailing address:
  • Phone: 605-352-8596
  • Fax: 605-352-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC20393
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: