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

Katie Nicole Wieczorek, LPC-MH, QMHP

Individual provider Counselor · NPI 1184349839

Katie Nicole Wieczorek, LPC-MH, QMHP is a Mental Health Counselor in Mitchell, South Dakota. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
8
Licensed in
SD
In the registry since
2022
Specialties on file
2

Practice location Address checks out

712 S Sanborn Blvd Ste 9
Mitchell, SD 57301-3902
Phone: (605) 674-3797
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 30826 (SD)
Mental Health Counselor Taxonomy 101YM0800X · Licence QMHP (SD)

Record details

NPI number1184349839
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MH , QMHP
Sole proprietorYes
NPI enumeratedOctober 5, 2022
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mitchell