Individual provider Active NPI

Jennifer Mayforth, LPC-MH

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1437840675
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30832 Issued in SD
Practice address
222 Sandra LN
Rapid City, SD 57701-6324
Phone
(605) 593-7841
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30832 SD Primary

Addresses

Primary practice location

222 Sandra LN
Rapid City, SD 57701-6324

Mailing address

222 Sandra LN
Rapid City, SD 57701-6324
Phone (605) 593-7841

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
I20250604004286 SD Practitioner - Mental Health Counselor 8628587185 Reassigns benefits to 1 organization
Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Custer, SD 57730
Phone (605) 593-7841

2525 W Main St
Suite 217
Rapid City, SD 57702-2439
Phone (605) 593-7841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30832SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Authentic Hope Counseling and Consulting, LLC Mental Health CurrentSince Apr 6, 2025 Accepting new patients
Catholic Social Services PastSince May 1, 2023 Accepting new patients

Locations

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1437840675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SANDRA LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016324",
            "telephone_number": "605-593-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SANDRA LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016324",
            "telephone_number": "605-593-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFORTH",
        "first_name": "JENNIFER",
        "credential": "LPC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "30832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.