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AVERA MCKENNAN
NPI 1902559271
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Sioux Falls, SD

Active since January 27, 2022
4400 W 69TH ST, SIOUX FALLS, SD 57108(605) 504-3522 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1902559271), doing business as Avera Adolescent Addiction Center, is a healthcare organization registered as a substance abuse treatment, children in Sioux Falls, South Dakota and active in the NPI registry since January 2022. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1902559271
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameAVERA MCKENNAN
Location Address4400 W 69TH STSioux Falls, SD 57108-8170
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-6408
Phone(605) 504-3522
Organization SubpartNo
Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1902559271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
4400 W 69TH ST, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsAvera Adolescent Addiction Center

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.

AMBER OLSON MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4005
JOSHUA REIDER MD
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5737
KARA FEISTNER FNP-C
Student in an Organized Health Care Education/Training Program
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4065
TIMOTHY JAMES SOUNDY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
KYLE A DUKE PA
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4405
CANDICE K CUMMINGS LCSW, ISW
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700
DR. ANNE ELIZABETH MORSTAD PHARMD
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5912

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 Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1902559271. It was assigned to this organization in the NPPES registry on January 27, 2022. The provider is doing business as Avera Adolescent Addiction Center.

Where is Avera Mckennan located?

Avera Mckennan is located at 4400 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 504-3522.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on January 27, 2022. 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.