Lynell Mar Rice Brinkworth, L.M.F.T.
Individual provider Active NPI Marriage & Family Therapist · Rapid City, SD
NPI 1164655445 · NPPES record last updated May 17, 2012
Key facts
- NPI
- 1164655445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT1209 (SD)
- Practice address
- 623 Quincy St Ste 102a
Rapid City, SD 57701-8230 - Phone
- (605) 381-5277
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Mar 1, 2024 through Mar 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC47324 | CA | MD | Marriage & Family Therapist |
| LMFT1209 | SD | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC47324 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT1209 | SD | Yes |
Addresses
Primary practice location
623 Quincy St Ste 102a
Rapid City, SD 57701-8230
Mailing address
623 Quincy St Ste 102a
Rapid City, SD 57701-8230
Phone (605) 381-5277
Other providers in Rapid City, SD
- Erin Retzer
- Rex Briggs MSW Inc
- Jorge Ramiro Reyno
- Charles Jeffrey Rezabek
- Paul M Rezich
- Destinee Rice
- Heather Noelle Rice
- Heidi Rice
- Stuart Glen Rice
- Richard Meyer DDS PC
All providers in Rapid City, SD · Marriage & Family Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.