Active NPI
Danielle Rose Brady, NCC, LPC
- Professional Counselor
- Rapid City, SD
National Provider Identifier
1396465878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC1060
- Practice address
- 4820 Powderhorn Dr
Rapid City, SD 57702-4801 - Phone
- (605) 641-3219
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1060 | SD | Primary |
Addresses
Primary practice location
4820 Powderhorn Dr
Rapid City, SD 57702-4801
Mailing address
4820 Powderhorn Dr
Rapid City, SD 57702-4801
Phone (605) 641-3219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC1060 | Other | SD | INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1060 | SD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1396465878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 POWDERHORN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024801",
"telephone_number": "605-641-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 POWDERHORN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024801",
"telephone_number": "605-641-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "DANIELLE ROSE",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC1060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "LPC1060",
"state": "SD"
}
],
"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 Sep 2, 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.