Active NPI
Jazmin Mendoza, MSW, LCSW
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1134849243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 909 Saint Joseph St Ste 201
Rapid City, SD 57701-3304 - Phone
- (605) 431-4151
- Fax
- (605) 431-4151
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
909 Saint Joseph St Ste 201
Rapid City, SD 57701-3304
Mailing address
528 Kansas City St Ste 3
Rapid City, SD 57701-5037
Phone (605) 299-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1914 Skerrols St
Fort Pierre, SD 57532-2390
420 S Henry St
Pierre, SD 57501-4515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Counseling Inc. | Current | Accepting new patients |
Locations
528 Kansas City St
Ste 5
Rapid City, SD 57701
Phone (605) 299-9100
909 Saint Joseph St
Ste 201
Rapid City, SD 57701
Phone (605) 209-9100
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.
-
- Adult Mental Health Clinic/Center
- Rapid City, SD
- NPI 1780058487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1134849243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 KANSAS CITY ST STE 3",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015037",
"telephone_number": "605-299-9100",
"fax_number": "605-250-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SAINT JOSEPH ST STE 201",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577013304",
"telephone_number": "605-431-4151",
"fax_number": "605-431-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JAZMIN",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.