KATIE NICOLE WIECZOREK LPC-MH, QMHP
NPI 1184349839
Counselor in Mitchell, SD

Active since October 05, 2022PECOS EnrolledAccepts Medicare Assignment
712 S SANBORN BLVD STE 9, MITCHELL, SD 57301(605) 674-3797 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 30, 2026, Oct 5, 2022 (2 updates tracked since 2022).

About Katie Nicole Wieczorek Lpc-mh, Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE NICOLE WIECZOREK LPC-MH, QMHP (NPI 1184349839) is an individual counselor in Mitchell, South Dakota, licensed in South Dakota (30826) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184349839
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATIE NICOLE WIECZOREKCredential: LPC-MH, QMHP
Location Address712 S SANBORN BLVD STE 9Mitchell, SD 57301-3902
Mailing Address712 S Sanborn Blvd, Ste 9 Pmb#6143Mitchell, SD 57301-3902 · (605) 674-3797
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 5, 2022
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1184349839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in SD · 30826
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHP (SD)
712 S SANBORN BLVD STE 9, Mitchell, SD 57301

Other Identifiers 3

Other30826SD · Lpc-mh
OtherQMHPSD · State Qmhp Certificate
Other20535SD · State License - Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Nicole Wieczorek Lpc-mh, Qmhp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375027147
PECOS Enrollment IDI20260319001597
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Wieczorek's NPI number?

The NPI number for Katie Wieczorek is 1184349839. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Katie Wieczorek located?

Katie Wieczorek practices at 712 S Sanborn Blvd Ste 9, Mitchell, SD 57301. The listed phone number is (605) 674-3797.

What is Katie Wieczorek's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Katie Wieczorek enrolled in Medicare?

Yes. Katie Wieczorek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katie Wieczorek accept?

Health plans from Avera Health Plans and Sanford Health Plan list Katie Wieczorek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Wieczorek was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.