DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE NICOLE WIECZOREK, LPC-MH, QMHP

Active Sole Proprietor

Counselor · MITCHELL, SD

Registration Details

NPI Number
1184349839
Provider Type
Individual
Gender
Female
NPI Issued
Oct 5, 2022 (3.567763443735 yrs)
Last Updated
Feb 10, 2026
Licenses
30826 (SD)
QMHP (SD)
Sole Proprietor
Yes

Practice Information

Address
712 S SANBORN BLVD STE 9
MITCHELL, SD, 573013902
Browse SD providers · Browse ZIP 57301
Phone
6056743797
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.