Active NPI
Practical Christian Counseling, Inc.
- Mental Health Counselor
- Rapid City, SD
National Provider Identifier
1376015123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PRACTICAL CHRISTIAN COUNSELING, INC.
- Practice address
- 1351 Jolly LN
Rapid City, SD 57703-4763 - Phone
- (605) 484-7089
- NPI assigned
- Dec 18, 2018
- Last updated
- Jun 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Scott Wiley, LPC-MH-SUPV
- Title
- Counselor/Owner
- Phone
- (605) 484-7089
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 7059 | SD | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1351 Jolly LN
Rapid City, SD 57703-4763
Mailing address
4951 Hansen LN
Rapid City, SD 57703-0147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1351 Jolly Ln
Rapid City, SD 57703
Phone (605) 484-7089
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Rapid City, SD
- NPI 1770944498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560988800000",
"number": "1376015123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 HANSEN LN",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577030147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 JOLLY LN",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577034763",
"telephone_number": "605-484-7089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRACTICAL CHRISTIAN COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-18",
"last_updated": "2019-06-20",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "COUNSELOR/OWNER",
"authorized_official_telephone_number": "605-484-7089",
"authorized_official_credential": "LPC-MH-SUPV"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "SD",
"license": "7059",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 20, 2019; 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.