Slate Creek Counseling PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SLATE CREEK COUNSELING PC

Practice address

319 Coteau St
Pierre, SD 57501-3187

Phone

(605) 220-1093

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Rapp, LCSW-PIP

Title

President

Phone

(605) 484-9679

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1104950195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575010412",
            "telephone_number": "605-220-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COTEAU ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013187",
            "telephone_number": "605-220-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE CREEK COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-484-9679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-PIP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571170",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Cole Schumacher, LCSW, MSW
• Sandra Marie Shay
• Barbara Shoup Anderson, MA, LAC, NCC
• Ann Shoup, PT
• Dominic Shuttleworth, DO
• Bridgett Smith, CNP
• South Dakota Urban Indian Health, Inc. Sduih
• South Dakota Urban Indian Health, Inc. Sduih
• South Dakota Urban Indian Health, Inc. Sduih
• Roger D Southmayd, CRNA

• Professional Counselor in Pierre, SD
• Providers in Pierre, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.