Individual provider Active NPI

Lesley Anne Dzintars, LPC-MH, QMHP

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1114102068
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2103 Issued in SD
Practice address
2640 Jackson Blvd Ste 7
Rapid City, SD 57702-3400
Phone
(605) 341-8647
Fax
(605) 341-0489
NPI assigned
Jan 9, 2008
Last updated
Nov 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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 2103 SD Primary

Addresses

Primary practice location

2640 Jackson Blvd Ste 7
Rapid City, SD 57702-3400

Mailing address

2640 Jackson Blvd Ste 7
Rapid City, SD 57702-3400
Phone (605) 341-8647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004351 SD Practitioner - Mental Health Counselor 2860843034 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2640 Jackson Blvd
Suite 7
Rapid City, SD 57702-3400
Phone (605) 341-8647

403 National St
Suite 1
Rapid City, SD 57702-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Systems, Inc. PastSince May 1, 2011 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1114102068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 JACKSON BLVD STE 7",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023400",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 JACKSON BLVD STE 7",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023400",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZINTARS",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "credential": "LPC-MH, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.