Organization Active NPI

Sanctuary Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Rapid City, SD
National Provider Identifier
1215762679
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Alexandra Coyne, MS, NCCNPI 1144082140
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.