Individual provider Active NPI

Monica Ellen Eaton-Harris, NCC, LPC

  • Counselor
  • Rapid City, SD
National Provider Identifier
1043736002
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1330 Jolly LN
Rapid City, SD 57703-4763
Phone
(605) 716-1628
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1330 Jolly LN
Rapid City, SD 57703-4763

Mailing address

1330 Jolly LN
Rapid City, SD 57703-4763
Phone (605) 716-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Home Society of South Dakota CurrentSince Nov 19, 2023 Accepting new patients
Childrens Home Society of South Dakota CurrentSince Nov 19, 2023 Accepting new patients
Behavior Management Systems, Inc. PastSince Nov 13, 1990 Accepting new patients

Locations

1330 Jolly Ln
Rapid City, SD 57703
Phone (605) 343-2811

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJFHDD/Endpoint/BJFHDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1043736002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 JOLLY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034763",
            "telephone_number": "605-716-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 JOLLY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034763",
            "telephone_number": "605-716-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON-HARRIS",
        "first_name": "MONICA",
        "middle_name": "ELLEN",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.