Individual provider Active NPI

Tiffany Mooney, LPC-MH, QMHP

  • Professional Counselor
  • Rapid City, SD
National Provider Identifier
1386160679
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC7431 Issued in SD
Practice address
2902 W Main St Ste 2
Rapid City, SD 57702-8174
Phone
(605) 721-8822
NPI assigned
Aug 17, 2017
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-1631 WY
Mental Health Counselor 101YM0800X 1046-12-15-19 ND
Mental Health Counselor 101YM0800X LPC-MH20401 SD
Mental Health Counselor 101YM0800X IMHP-2457 NE
Professional Counselor 101YP2500X LPC7431 SD Primary

Addresses

Primary practice location

2902 W Main St Ste 2
Rapid City, SD 57702-8174

Mailing address

2902 W Main St Ste 2
Rapid City, SD 57702-8174
Phone (605) 721-8822

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

State licenses

LicenseStateTypeSpecialty
IMHP-2457NEMDMental Health Counselor
LPC-MH20401SDMDMental Health Counselor
LPC-1631WYMDMental Health Counselor
LPC7431SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scovel Psychological and Counseling Services, LTD CurrentSince Jun 21, 2022 Accepting new patients

Locations

2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1386160679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W MAIN ST STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028174",
            "telephone_number": "605-721-8822"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "TIFFANY",
        "credential": "LPC-MH, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1631",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1046-12-15-19",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH20401",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "IMHP-2457",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC7431",
            "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 Jun 17, 2022; 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.