Active NPI
Restoration Ranch, LLC
- Mental Health Counselor
- Pukwana, SD
National Provider Identifier
1174021273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC7426
- Legal business name
- RESTORATION RANCH, LLC
- Practice address
- 35540 250TH St
Pukwana, SD 57370-6513 - Phone
- (605) 351-3718
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Megan Kaye Miller, LPC, LMFT
- Title
- Owner
- Phone
- (605) 351-3718
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC7426 | SD | Primary |
Addresses
Primary practice location
35540 250TH St
Pukwana, SD 57370-6513
Mailing address
35686 248TH St
Kimball, SD 57355-6505
Phone (605) 351-3718
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Platte, SD
- NPI 1205375177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1174021273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35686 248TH ST",
"city": "KIMBALL",
"state": "SD",
"postal_code": "573556505",
"telephone_number": "605-351-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35540 250TH ST",
"city": "PUKWANA",
"state": "SD",
"postal_code": "573706513",
"telephone_number": "605-351-3718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION RANCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-351-3718",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC7426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pukwana, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.