Individual provider Active NPI

Kayla Brooke Grams, M.S. LPC-MH

  • Mental Health Counselor
  • Belle Fourche, SD
National Provider Identifier
1134589617
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC7394 Issued in SD
Practice address
515 National St Ste 103
Belle Fourche, SD 57717-1833
Phone
(605) 722-8090
Fax
(605) 722-8090
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 LPC7394 SD Primary

Addresses

Primary practice location

515 National St Ste 103
Belle Fourche, SD 57717-1833

Mailing address

515 National St Ste 103
Belle Fourche, SD 57717-1833
Phone (605) 722-8090

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
I20240910003539 SD Practitioner - Mental Health Counselor 7214476365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Fourche Counseling - LLCGroup PAC ID 5496294530, 4 clinicians

Practice addresses (Care Compare)

515 National St
Suite 103
Belle Fourche, SD 57717-1833
Phone (605) 722-8090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC7394SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Fourche Counseling - LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

515 National St
Ste 103
Belle Fourche, SD 57717
Phone (605) 722-8090

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1134589617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NATIONAL ST STE 103",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171833",
            "telephone_number": "605-722-8090",
            "fax_number": "605-722-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NATIONAL ST STE 103",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171833",
            "telephone_number": "605-722-8090",
            "fax_number": "605-722-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMS",
        "first_name": "KAYLA",
        "middle_name": "BROOKE",
        "credential": "M.S. LPC-MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2020-11-16",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Fourche, SD

Sources for this page

Verify at the official NPI Registry.