Organization
NORTHEASTERN MENTAL HEALTH CENTER
Active
Other names
Northeastern Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA JO THARES (FINANCIAL SPECIALIST)
(605) 725-4953
Entity
Organization
Contact information
Practice address
14 S MAIN ST, SUITE 1E, ABERDEEN, SD 57401-4136
(605) 225-1010
(605) 225-1017
Mailing address
14 S MAIN ST STE 1E, ABERDEEN, SD 57401-4189
(605) 225-1010
(605) 225-1017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000108
BCBS WELLMARK
SD
05
—
5200030
—
SD
05
—
5255030
—
SD
05
—
5256030
—
SD
05
—
5261030
—
SD
01
—
9236729
DAKOTACARE
SD
01
—
CP7629
RAILROAD MEDICARE
SD
Enumeration date
11/30/2006
Last updated
02/06/2026
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