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STACIA MARIE NISSEN MA, LPC-MH, LAC, NCC
NPI 1295970986
Counselor - Mental Health in Sioux Falls, SD

Active since December 09, 2008
711 N LAKE AVE, SIOUX FALLS, SD 57104(605) 339-0420(605) 339-0038 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacia Marie Nissen Ma, Lpc-mh, Lac, Ncc NPPES

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

STACIA MARIE NISSEN MA, LPC-MH, LAC, NCC (NPI 1295970986) is an individual mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (LPC-MH20292) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1295970986
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACIA MARIE NISSENCredential: MA, LPC-MH, LAC, NCC
Location Address711 N LAKE AVESioux Falls, SD 57104-2203
Mailing Address711 N Lake AveSioux Falls, SD 57104-2203 · (605) 339-0420 · Fax (605) 339-0420
Phone(605) 339-0420
Fax(605) 339-0038
Sole ProprietorNo
Enumeration DateDecember 9, 2008
Last NPPES UpdateMarch 30, 2018
✔ NPI 1295970986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SD · LPC-MH20292
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 08111384 (SD)
711 N LAKE AVE, Sioux Falls, SD 57104
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TABITHA HART CNP
Nurse Practitioner (Family)
711 N LAKE AVE
SIOUX FALLS, SD 57104
Minnehaha County (605) 339-0420

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 Stacia Nissen's NPI number?

The NPI number for Stacia Nissen is 1295970986. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is Stacia Nissen located?

Stacia Nissen practices at 711 N Lake Ave, Sioux Falls, SD 57104. The listed phone number is (605) 339-0420.

What is Stacia Nissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacia Nissen was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.