Individual provider Active NPI

Lori Dahly, BS, ACT

  • Addiction (Substance Use Disorder) Psychologist
  • Rapid City, SD
National Provider Identifier
1346074903
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
8534 Issued in SD
Practice address
1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710
Phone
(605) 716-7841
Fax
(605) 718-0404
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 8534 SD Primary

Addresses

Primary practice location

1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710

Mailing address

1520 Haines Ave
Ste 6
Rapid City, SD 57701-0710
Phone (605) 716-7841

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
8534SDMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Recovery Centers of the Black Hills CurrentSince Sep 1, 2024 Accepting new patients
Stephen Tamang MD Consulting Services PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1520 Haines Ave
Ste 6
Rapid City, SD 57701
Phone (605) 716-7841

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18632/brand/1/csg/1/fhir/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1346074903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HAINES AVE",
            "address_2": "STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010710",
            "telephone_number": "605-716-7841",
            "fax_number": "605-718-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HAINES AVE",
            "address_2": "STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010710",
            "telephone_number": "605-716-7841",
            "fax_number": "605-718-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLY",
        "first_name": "LORI",
        "credential": "BS, ACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "8534",
            "primary": true
        }
    ],
    "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 Aug 27, 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.