VANESSA IVERSON LPC-MH
NPI 1679044663
Counselor - Mental Health in Wagner, SD

Active since December 17, 2018PECOS Enrolled
111 WASHINGTON AVE NW, WAGNER, SD 57380(605) 384-3621 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, Sep 22, 2020, Dec 17, 2018 (3 updates tracked since 2018).

About Vanessa Iverson Lpc-mh NPPES

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

VANESSA IVERSON LPC-MH (NPI 1679044663) is an individual mental health provider in Wagner, South Dakota, licensed in South Dakota (LPC-MH30619) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679044663
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVANESSA IVERSONCredential: LPC-MH
Location Address111 WASHINGTON AVE NWWagner, SD 57380-4300
Mailing Address111 Washington Ave NwWagner, SD 57380-4300 · (605) 384-3621
Sole ProprietorNo
Enumeration DateDecember 17, 2018
Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1679044663 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-MH30619
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC20379 (SD)
111 WASHINGTON AVE NW, Wagner, SD 57380

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vanessa Iverson Lpc-mh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Pharmacist
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse (Community Health)
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse
111 WASHINGTON AVE NW
WAGNER, SD 57380
Registered Nurse
111 WASHINGTON AVE NW
WAGNER, SD 57380
General Practice
111 WASHINGTON AVE NW
WAGNER, SD 57380
Pharmacist
111 WASHINGTON AVE NW
WAGNER, SD 57380
Counselor (Professional)
111 WASHINGTON AVE NW
WAGNER, SD 57380
Physical Therapist
111 WASHINGTON AVE NW
WAGNER, SD 57380

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 Vanessa Iverson's NPI number?

The NPI number for Vanessa Iverson is 1679044663. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Vanessa Iverson located?

Vanessa Iverson practices at 111 Washington Ave NW, Wagner, SD 57380. The listed phone number is (605) 384-3621.

What is Vanessa Iverson's specialty?

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

Is Vanessa Iverson enrolled in Medicare?

Yes. Vanessa Iverson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Iverson was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.