NPIMap

Organization Active NPI

Pain Solutions, LLC

  • Counselor
  • Rapid City, SD
National Provider Identifier
1407949084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SD LPC-MH 2081 Issued in SD
Legal business name
PAIN SOLUTIONS, LLC
Practice address
2404 Jackson Blvd
Rapid City, SD 57702-3450
Phone
(605) 737-0769
Fax
(605) 721-1196
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan Chamberlain Hayman, MS, LPC-MH, QMHPNPI 1104890144
Title
Director
Phone
(605) 737-0769

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SD LPC-MH 2081 SD Primary

Addresses

Primary practice location

2404 Jackson Blvd
Rapid City, SD 57702-3450

Mailing address

2404 Jackson Blvd
Rapid City, SD 57702-3450
Phone (605) 737-0769

Other identifiers 1

IdentifierTypeStateIssuer
6575560MedicaidSD

Other names 1

  • Life Without Boundaries Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407949084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023450",
            "telephone_number": "605-737-0769",
            "fax_number": "605-721-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023450",
            "telephone_number": "605-737-0769",
            "fax_number": "605-721-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHAMBERLAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-737-0769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC-MH, QMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "SD LPC-MH 2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575560",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Without Boundaries",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.