Active NPI
Tamara Michelle Ulmer, LPC-MH QMHP
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1376833368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3413
- Practice address
- 2902 W Main St Ste 2
Rapid City, SD 57702-8174 - Phone
- (605) 721-8822
- Fax
- (605) 721-8822
- NPI assigned
- Apr 12, 2011
- Last updated
- Jul 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2232 | SD | |
| Clinical Social Worker | 1041C0700X | 3413 | SD | Primary |
Addresses
Primary practice location
2902 W Main St Ste 2
Rapid City, SD 57702-8174
Mailing address
350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2902 W Main St
Suite 2
Rapid City, SD 57702-8174
Phone (605) 721-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2232 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scovel Psychological and Counseling Services, LTD | Current | Accepting new patients | |
| Behavior Management Systems, Inc. | Past | Accepting new patients |
Locations
2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Rapid City, SD
- NPI 1578744504
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1295878122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1376833368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 W MAIN ST STE 2",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028174",
"telephone_number": "605-721-8822",
"fax_number": "605-721-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMER",
"first_name": "TAMARA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LPC-MH QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "2232",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "3413",
"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 Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.