Individual provider Active NPI

Shannon Heather Howard

  • Mental Health Counselor
  • Spearfish, SD
National Provider Identifier
1205108396
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC7222 Issued in SD
Practice address
623 Dahl Rd
Spearfish, SD 57783-2782
Phone
(605) 642-2777
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-6314 CO
Mental Health Counselor 101YM0800X LPC7222 SD Primary

Addresses

Primary practice location

623 Dahl Rd
Spearfish, SD 57783-2782

Mailing address

350 Elk St
Rapid City, SD 57701-7351

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
I20240219002249 SD Practitioner - Mental Health Counselor 5496199341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enso Mental Health LLCGroup PAC ID 0749651883, 5 clinicians

Practice addresses (Care Compare)

717 N 5TH St
Spearfish, SD 57783-2048
Phone 6055195850100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-6314COMDMental Health Counselor
LPC7222SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Mental Health, LLC CurrentSince Feb 14, 2024 Accepting new patients
Behavior Management Systems, Inc. PastSince Nov 13, 1990 Accepting new patients

Locations

717 N 5th St
Spearfish, SD 57783
Phone (605) 519-5850

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1205108396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ELK ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 DAHL RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832782",
            "telephone_number": "605-642-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHANNON",
        "middle_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-6314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.