Individual provider Active NPI

Diana M Mueller, LPC-MH

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1295709244
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
623 Quincy St Ste 102B
Rapid City, SD 57701-8230
Phone
(605) 646-0223
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Social Worker 104100000X 1985 SD
Professional Counselor 101YP2500X LPC-MH30555 SD

Addresses

Primary practice location

623 Quincy St Ste 102B
Rapid City, SD 57701-8230

Mailing address

12307 Valhalla Dr
Sturgis, SD 57785-5517
Phone (605) 646-0223

Other practice location 1

12307 Valhalla Dr
Sturgis, SD 57785-5517
Phone (605) 646-0223

Other names 1

  • Diana M Southam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: No
  • 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
I20240314003206 SD Practitioner - Mental Health Counselor 0446696348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1985SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Counselling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Pain Solutions, LLC Past Accepting new patients

Locations

623 Quincy St
Ste 102B
Rapid City, SD 57701
Phone (605) 646-0223

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1295709244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 VALHALLA DR",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577855517",
            "telephone_number": "605-646-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 QUINCY ST STE 102B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018230",
            "telephone_number": "605-646-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12307 Valhalla Dr",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "SD",
            "postal_code": "577855517",
            "country_code": "US",
            "telephone_number": "605-646-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "1985",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH30555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "SOUTHAM",
            "middle_name": "M",
            "credential": "LPC-MH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.