AMANDA RENEE CARTER-BOOMSMA LPC
NPI 1689958209
Counselor in Watertown, SD

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment
1424 9TH AVE SE, SUITE 7, WATERTOWN, SD 57201(605) 882-2740(605) 882-4323 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Renee Carter-boomsma Lpc NPPES

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

AMANDA RENEE CARTER-BOOMSMA LPC (NPI 1689958209) is an individual counselor in Watertown, South Dakota, licensed in South Dakota (LPC7090) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1689958209
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMANDA RENEE CARTER-BOOMSMACredential: LPC
Location Address1424 9TH AVE SE, SUITE 7Watertown, SD 57201-5383
Mailing Address705 E 41st St Ste 200Sioux Falls, SD 57105-6048 · (605) 357-0100 · Fax (605) 357-0140
Fax(605) 882-4323
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 30, 2011
NPI 1689958209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in SD · LPC7090
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.

1424 9TH AVE SE, Watertown, SD 57201

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

Amanda Renee Carter-boomsma Lpc 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 ID3678082641
PECOS Enrollment IDI20250602001208
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 2

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

Counselor
1424 9TH AVE SE, SUITE 7
WATERTOWN, SD 57201
Counselor
1424 9TH AVE SE, SUITE 7
WATERTOWN, SD 57201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689958209, enumerated as an "individual" on September 30, 2011.

The provider is located at 1424 9TH AVE SE SUITE 7 WATERTOWN, SD 57201 and the phone number is (605) 882-2740.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Avera Health Plans and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.