Individual provider Active NPI

Lynell Mar Rice Brinkworth, L.M.F.T.

  • Marriage & Family Therapist
  • Rapid City, SD
National Provider Identifier
1164655445
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT1209 Issued in SD
Practice address
623 Quincy St Ste 102a
Rapid City, SD 57701-8230
Phone
(605) 381-5277
NPI assigned
Sep 2, 2009
Last updated
May 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC47324 CA
Marriage & Family Therapist 106H00000X LMFT1209 SD Primary

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

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC47324CAMDMarriage & Family Therapist
LMFT1209SDMDMarriage & Family Therapist

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1164655445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 QUINCY ST STE 102A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018230",
            "telephone_number": "605-381-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 QUINCY ST STE 102A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018230",
            "telephone_number": "605-381-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE BRINKWORTH",
        "first_name": "LYNELL",
        "middle_name": "MAR",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47324",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.