Individual provider Active NPI

David Dracy, PHD

  • Mental Health Counselor
  • Yankton, SD
National Provider Identifier
1154304582
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
420 Issued in SD
Practice address
1028 Walnut St
Yankton, SD 57078-2910
Phone
(605) 665-4606
Fax
(605) 665-4673
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 420 SD Primary

Addresses

Primary practice location

1028 Walnut St
Yankton, SD 57078-2910

Mailing address

1028 Walnut St
Yankton, SD 57078-2910
Phone (605) 665-4606

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
I20101110000862 SD Practitioner - Clinical Psychologist 0345435871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis and Clark Behavioral Health Services IncGroup PAC ID 9436145273, 11 clinicians

Practice addresses (Care Compare)

3111 Shirley Bridge Ave
Yankton, SD 57078-5949
Phone (605) 665-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
420SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis & Clark Behavioral Health Services, Inc. CurrentSince Sep 1, 2000 Accepting new patients
Lewis & Clark Mental Health Center Mental Health Past Accepting new patients

Locations

1028 Walnut St
Yankton, SD 57078
Phone (605) 665-4606

Organizations & group practices 2

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1154304582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782910",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782910",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACY",
        "first_name": "DAVID",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.