Organization Active NPI

Restoration Ranch, LLC

  • Mental Health Counselor
  • Pukwana, SD
National Provider Identifier
1174021273
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC7426 Issued in SD
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Mrs. Megan Kaye Miller, LPC, LMFTNPI 1205375177
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.