Individual provider Active NPI

Susan Chamberlain Hayman, MS LPC-MH QMHP

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1104890144
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH 2081 Issued in SD
Practice address
2404 Jackson Blvd
Rapid City, SD 57702-3450
Phone
(605) 737-0769
Fax
(605) 721-1196
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH 2081 SD Primary

Addresses

Primary practice location

2404 Jackson Blvd
Rapid City, SD 57702-3450

Mailing address

3405 Leland LN
Rapid City, SD 57702-3459
Phone (605) 737-0769

Other identifiers 2

IdentifierTypeStateIssuer
4997001OtherSDBLUE CROSS/BLUE SHIELD
6575560MedicaidSD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-MH 2081SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Solutions, LLC Past Accepting new patients

Organizations & group practices 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104890144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 LELAND LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023459",
            "telephone_number": "605-737-0769",
            "fax_number": "605-721-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023450",
            "telephone_number": "605-737-0769",
            "fax_number": "605-721-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMAN",
        "first_name": "SUSAN",
        "middle_name": "CHAMBERLAIN",
        "name_prefix": "Ms.",
        "credential": "MS LPC-MH QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH 2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4997001",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575560",
            "state": "SD"
        }
    ],
    "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 Jul 13, 2026; 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.