Active NPI
Sanctuary Counseling, LLC
- Adult Mental Health Clinic/Center
- Rapid City, SD
National Provider Identifier
1215762679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SANCTUARY COUNSELING, LLC
- Practice address
- 4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889 - Phone
- (605) 646-3134
- NPI assigned
- Sep 5, 2024
- 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
- Alexandra Coyne, MS, NCC
- Title
- LPC-Supervisee
- Phone
- (605) 389-2571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Mailing address
4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone (605) 646-3134
National Provider Directory
National Provider DirectoryLocations
4447 S Canyon Rd
Ste 6
Rapid City, SD 57702
Phone (605) 484-8424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rapid City, SD
- NPI 1144082140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1215762679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4447 S CANYON RD STE 6",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577021889",
"telephone_number": "605-646-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4447 S CANYON RD STE 6",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577021889",
"telephone_number": "605-646-3134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "COYNE",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "LPC-SUPERVISEE",
"authorized_official_telephone_number": "605-389-2571",
"authorized_official_credential": "MS, NCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.