Kris Jeakins, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KRIS JEAKINS, LLC

Practice address

3618 Canyon Lake Dr Ste 107
Rapid City, SD 57702-3129

Phone

(605) 430-4214

NPI assigned

Jun 24, 2022

Organization subpart

No

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

Authorized official

Name

Kris Jeakins, LPCNPI 1609346006

Title

Owner

Phone

(605) 430-4214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris Jeakins, MS, NCC, LPC-MH

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1609346006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1275265761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SPRINGER DR",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577199620",
            "telephone_number": "605-430-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 CANYON LAKE DR STE 107",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023129",
            "telephone_number": "605-430-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS JEAKINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "JEAKINS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-430-4214",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Krebs, MS COUNSELING, NCC
• Julie A Krein, CNP
• Kreisers Inc
• Jayden Lee Krenn
• Rebecca Krenzer, OTR/L
• Courtney Krismer, RBT
• Kristen M Corkle Sole MBR
• Jean Robert Kroeger III, PHARM.D.
• Michelle Krohn, D.O
• Kaitlin Danielle Kroll, ATC

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.