Duane J Kavanaugh, LPCMH, NCC, CCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCMH2004 Issued in SD

Practice address

4447 S Canyon Rd
Rapid City, SD 57702-1807

Phone

(605) 939-6700

NPI assigned

Dec 1, 2006

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Lutheran Social Services of South Dakota Inc

  dba Lutheran Social Services of SD

  • Voluntary or Charitable Agency
  • Sioux Falls, SD
  • NPI 1194885723
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1366510141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021807",
            "telephone_number": "605-939-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021807",
            "telephone_number": "605-939-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "DUANE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPCMH, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LSWA1015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn a Barrett MD PC
• Ashley Elizabeth Kauffman, D.C.
• Shelsta Kaufmann
• Lisa Kautzman, CNP RN
• Trevor Kautzman
• Torre Kavanaugh, PA-C
• Adam Kay
• Caiti Colleen Kean, CNP
• Jamie Kearns, MS, RD
• James Michael Keegan, MD

• 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 Apr 9, 2025; 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.