Individual provider Active NPI

Stacy Lynn Keyser, MS,LPC-MH, NCC, QMHP

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1497046387
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH 20254 Issued in SD
Practice address
832 Saint Joseph St Ste 204
Rapid City, SD 57701-3168
Phone
(605) 299-9100
Fax
(605) 250-5159
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCMH 20254 SD Primary
Counselor 101Y00000X 7335 SD

Addresses

Primary practice location

832 Saint Joseph St Ste 204
Rapid City, SD 57701-3168

Mailing address

832 Saint Joseph St Ste 204
Rapid City, SD 57701-3168
Phone (605) 299-9100

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
I20240507004152 SD Practitioner - Mental Health Counselor 0648611798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Counseling IncGroup PAC ID 9739520883, 3 clinicians

Practice addresses (Care Compare)

909 Saint Joseph St
Suite 201
Rapid City, SD 57701-3304
Phone (605) 209-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7335SDMDCounselor
LPCMH 20254SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid City Counseling Inc. Mental Health CurrentSince Mar 13, 2024 Accepting new patients
Family Dynamics Therapy LLC Mental Health Current Accepting new patients

Locations

832 Saint Joseph St
Ste 204
Rapid City, SD 57701
Phone (605) 299-9100

909 Saint Joseph St
Ste 201
Rapid City, SD 57701
Phone (605) 209-9100

1818 W Fulton St
Ste 201
Rapid City, SD 57702
Phone (605) 348-6500

Organizations & group practices 2

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1497046387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 SAINT JOSEPH ST STE 204",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013168",
            "telephone_number": "605-299-9100",
            "fax_number": "605-250-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 SAINT JOSEPH ST STE 204",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013168",
            "telephone_number": "605-299-9100",
            "fax_number": "605-250-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "MS,LPC-MH, NCC, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH 20254",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "7335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.