Healthcare Provider Details

I. General information

NPI: 1386029460
Provider Name (Legal Business Name): MICHELLE ANNE PLISKA NCC, LPC, QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N KROHN PL STE 309
SIOUX FALLS SD
57103-1815
US

IV. Provider business mailing address

100 N KROHN PL STE 309
SIOUX FALLS SD
57103-1815
US

V. Phone/Fax

Practice location:
  • Phone: 605-223-5155
  • Fax: 605-202-7740
Mailing address:
  • Phone: 605-940-2844
  • Fax: 605-202-7740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC7118
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-MH30739
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: