Individual provider Active NPI

Rebecca Virginia Caselli Smith, LPC

  • Counselor
  • Rapid City, SD
National Provider Identifier
1245313766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC1014 Issued in SD
Practice address
2920 Sheridan Lake Road
Rapid City, SD 57702-5350
Phone
(605) 348-0477
Fax
(605) 348-0479
NPI assigned
Oct 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC1014 SD Primary

Addresses

Primary practice location

2920 Sheridan Lake Road
Rapid City, SD 57702-5350

Mailing address

2920 Sheridan Lake Road
Rapid City, SD 57702-5350
Phone (605) 348-0477

Other names 1

  • Rebecca Virginia Caselli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC1014SDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of South Dakota Inc PastSince Sep 1, 2015 Accepting new patients
Black Hills Child Psychiatric Services Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245313766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SHERIDAN LAKE ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025350",
            "telephone_number": "605-348-0477",
            "fax_number": "605-348-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SHERIDAN LAKE ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025350",
            "telephone_number": "605-348-0477",
            "fax_number": "605-348-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELLI SMITH",
        "first_name": "REBECCA",
        "middle_name": "VIRGINIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPC1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CASELLI",
            "middle_name": "VIRGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.