Living Lightly Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIVING LIGHTLY MENTAL HEALTH LLC

Practice address

115 N 7TH St Ste 4
Spearfish, SD 57783-2710

Phone

(605) 641-2661

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Pettersen, LPCMHNPI 1114357134

Title

Owner/Provider

Phone

(605) 641-2661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Pettersen, LPC-MH, QMHP

  • Mental Health Counselor
  • Spearfish, SD
  • NPI 1114357134
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1104665454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST STE 4",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832710",
            "telephone_number": "605-641-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST STE 4",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832710",
            "telephone_number": "605-641-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIGHTLY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PETTERSEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "605-641-2661",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Ellen Lewis, DC
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• Richard M Little, MD
• Lorri a. Riley, DPM PC
• Samantha Sue Lucas, D.C.
• Lutheran Social Services of SD (Canyon Hills Center)
• Hayley Madler, FNP-C
• Sean M Makepeace, LAC

• Mental Health Counselor in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.