Healthcare Provider Details

I. General information

NPI: 1851205587
Provider Name (Legal Business Name): SHAUN R KLINGER LPC, QMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 EASTGATE
PIERRE SD
57501-5691
US

IV. Provider business mailing address

2001 EASTGATE
PIERRE SD
57501-5691
US

V. Phone/Fax

Practice location:
  • Phone: 605-224-5811
  • Fax: 605-224-6921
Mailing address:
  • Phone: 605-224-5811
  • Fax: 605-224-6921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC21042
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: