Organization
HUMAN SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARI JOHNSTON LPC-MH (CEO)
(605) 886-0123
Entity
Organization
Contact information
Practice address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 886-0123
(605) 886-5447
Mailing address
123 19TH ST NE, WATERTOWN, SD 57201-2823
(605) 886-0123
(605) 886-5447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
006
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
704
SD
103T00000X
Psychologist
006
SD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
704
SD
2084P0800X
Psychiatry Physician
006
SD
2084P0802X
Addiction Psychiatry Physician
704
SD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
006
SD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
704
SD
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
006
SD
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
704
SD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
006
SD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
704
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180020
—
SD
05
—
5001040
—
SD
05
—
5200010
—
SD
05
—
5255010
—
SD
05
—
5256010
—
SD
05
—
5261010
—
SD
Enumeration date
09/26/2005
Last updated
08/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us