Active NPI
Evelyn M Leite, MHRLPC
- Professional Counselor
- Rapid City, SD
National Provider Identifier
1477586154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC697
- Practice address
- 2650 Jackson Blvd
Creekside Plaza
Rapid City, SD 57702-3474 - Phone
- (605) 484-0576
- Fax
- (605) 399-3250
- NPI assigned
- Jul 8, 2006
- 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 | LPC697 | SD | Primary |
Addresses
Primary practice location
2650 Jackson Blvd
Creekside Plaza
Rapid City, SD 57702-3474
Mailing address
PO Box 9702
Rapid City, SD 57709-9702
Phone (605) 484-0576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC697 | Other | SD | LICENSED PROFESSIONAL COU |
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 |
|---|---|---|---|
| LPC697 | SD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477586154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9702",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577099702",
"telephone_number": "605-484-0576",
"fax_number": "605-399-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 JACKSON BLVD",
"address_2": "CREEKSIDE PLAZA",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577023474",
"telephone_number": "605-484-0576",
"fax_number": "605-399-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITE",
"first_name": "EVELYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MHRLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COU",
"identifier": "LPC697",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.