Addiction Recovery Centers of the Black Hills
Organization Active NPI Community/Behavioral Health Agency · Rapid City, SD
NPI 1295878205 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1295878205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 101 (SD)
- Legal business name
- ADDICTION RECOVERY CENTERS OF THE BLACK HILLS
- Practice address
- 1520 Haines Ave
Rapid City, SD 57701-0710 - Phone
- (605) 716-7841
- Fax
- (605) 718-0404
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Julie Birner, MSW, CSW, LAC, QMHP
- Title
- Director
- Phone
- (605) 716-7841
Practitioners 32
-
Julie Birner, MS, LCSWPIP,QMHP,LAC
-
Colleen Beth Zimmerman, MSW,CSW,LAC, QMHP
-
Lanna M Backen, BS ACT
-
Mac Baker, MSW, CSW, QMHP
-
Trevor Bartunek, ACT
-
Diana Boyle, MS,LPC,NCC,CEAP,LAC
-
Kendsy Chilstrom, ACT
-
Stacey Curns, BS ACT
-
Lori Dahly, BS, ACT
-
Jade Doering, BS, ACT
-
Darci Galligo, ACT
-
Gina Hill, ACT
-
Heidi Nangle, BA, ACT
-
Tyler Rose O'Sullivan, BS ACT
-
Christina Olinger, MA, ACT
-
Kristene Rancour, ACT
-
Stephen Tamang, MD
-
Ashley Anderson, ACT
-
Jacqueline R Basener, LPC-MH, LAC
-
Betsy Cihak, BS, ACT
-
Natasha Frasier, ACT
-
Shelley Lynn Pierce, BSM, MSP, ACT
-
Heidi Rice, LAC
-
Charisse Rola, ACT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240913003582 | SD | Part B Supplier - Clinic/Group Practice | 6305386574 |
Receives reassigned benefits from 2 practitioners Practice locations: Rapid City, SD |
National Provider Directory
Locations
14 W Mount Rushmore Rd
Ste C
Custer, SD 57730
Phone (605) 673-2844
112 N Chicago St
Hot Springs, SD 57747
Phone (605) 745-4770
1520 Haines Ave
Rapid City, SD 57701
Phone (605) 716-7841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 101 | SD | Yes |
Addresses
Primary practice location
1520 Haines Ave
Rapid City, SD 57701-0710
Mailing address
1520 Haines Ave
Rapid City, SD 57701-0710
Phone (605) 716-7841
Other practice location 1
112 N Chicago St
Hot Springs, SD 57747-1632
Phone (605) 745-6300
Other practice location 2
14 W Mount Rushmore Rd Ste C
Custer, SD 57730-1801
Phone (605) 673-2844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101 | Other | SD | DIVISION OF ALCOHOL AND D |
| 5006010 | Medicaid | SD |
Other providers in Rapid City, SD
- Kaitlyn Adam
- Sarah Elizabeth Adam
- Maryann Adams-Gregson
- Kyle Alan Adams
- Sam Adams
- Adult Day Center of the Black Hills
- Adult Day Center of the Black Hills
- Advanced Chiropractic PC
- Advanced Dermatology Center, PC
- Advanced Dermatology of the Black Hills, PC
All providers in Rapid City, SD · Community/Behavioral Health Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.