Individual provider Active NPI

Suzette Wasvick, LPC-MH

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1508295312
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7266 Issued in SD
Practice address
2640 Jackson Blvd Ste 5
Rapid City, SD 57702-3400
Phone
(605) 390-8791
Fax
(605) 341-0489
NPI assigned
Nov 2, 2013
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 7266 SD Primary

Addresses

Primary practice location

2640 Jackson Blvd Ste 5
Rapid City, SD 57702-3400

Mailing address

PO Box 763
Hill City, SD 57745-0763
Phone (605) 390-8791

Other practice location 1

280 Main St Ste 14
Hill City, SD 57745-8906
Phone (605) 390-8791

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
I20240425001674 SD Practitioner - Mental Health Counselor 6305286204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2640 Jackson Blvd
Suite 5
Rapid City, SD 57702-3400
Phone (605) 390-8791

280 Main St
Suite 14
Hill City, SD 57745-8906
Phone (605) 390-8791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suzette Wasvick Counseling Services, Inc. Mental Health CurrentSince Dec 4, 2023 Accepting new patients
Behavior Management Systems, Inc. PastSince Nov 13, 1990 Accepting new patients

Locations

280 Main St
Ste 14
Hill City, SD 57745
Phone (605) 390-8791

2640 Jackson Blvd
Ste 5
Rapid City, SD 57702
Phone (605) 390-8791

403 National St
Ste 1
Rapid City, SD 57702
Phone (605) 341-8647

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, 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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1508295312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577450763",
            "telephone_number": "605-390-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 JACKSON BLVD STE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023400",
            "telephone_number": "605-390-8791",
            "fax_number": "605-341-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Main St Ste 14",
            "address_purpose": "LOCATION",
            "city": "Hill City",
            "state": "SD",
            "postal_code": "577458906",
            "country_code": "US",
            "telephone_number": "605-390-8791",
            "fax_number": "605-341-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASVICK",
        "first_name": "SUZETTE",
        "credential": "LPC-MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "7266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.