Healthcare Provider Details

I. General information

NPI: 1427470103
Provider Name (Legal Business Name): TARA JEAN GINTER LPC-MH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARA JEAN REINICKE

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W ILLINOIS ST
SPEARFISH SD
57783-2344
US

IV. Provider business mailing address

127 W ILLINOIS ST
SPEARFISH SD
57783-2344
US

V. Phone/Fax

Practice location:
  • Phone: 605-605-4423
  • Fax: 605-559-1900
Mailing address:
  • Phone: 605-605-4423
  • Fax: 605-559-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC20223
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-MH20376
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: