Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Noteboom, LPC

Individual provider Professional Counselor · NPI 1215682133

Jennifer Noteboom, LPC is a Mental Health Counselor in Wagner, South Dakota. Qualified in 2000, 26 years ago. Practices with Wagner Indian Health Service Health Center, a 15-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
26
Licensed in
SD
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

111 Washington Ave NW
Wagner, SD 57380-4300
Phone: (605) 384-4861
Fax: (605) 384-4872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC20549 (SD)

Record details

NPI number1215682133
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address111 Washington Ave Nw, Wagner, SD 57380-4300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Wagner Indian Health Service Health Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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