Individual provider Active NPI

Triscell Knuppe, LCSW

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1437686433
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4658 Issued in SD
Practice address
2650 Jackson Blvd # 11
Rapid City, SD 57702-3474
Phone
(605) 390-7055
NPI assigned
May 22, 2017
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4658 SD Primary

Addresses

Primary practice location

2650 Jackson Blvd # 11
Rapid City, SD 57702-3474

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725003052 SD Practitioner - Clinical Social Worker 1052681988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2650 Jackson Blvd
Suite 11
Rapid City, SD 57702-3474
Phone (605) 390-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4658SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knuppe Counseling, LLC Clinical CurrentSince May 20, 2017 Accepting new patients

Locations

2650 Jackson Blvd
#11
Rapid City, SD 57702
Phone (605) 390-7055

2650 Jackson Blvd
Ste 11
Rapid City, SD 57702
Phone (605) 390-7055

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1437686433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JACKSON BLVD # 11",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023474",
            "telephone_number": "605-390-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUPPE",
        "first_name": "TRISCELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.